EAFC 2023 - EXPRESSION OF INTEREST

2023 ENFIELD ALLSTARS

- Futsal Premier League Club -
NAME*

FIRST NAME SURNAME
DATE OF BIRTH *

DayMonthYear
Date
AGE *
NOTE: Players trialing MUST trial in their age group. All expresions of interests will be reviewed prior to trials and where required, players will be reallocated into the correct age group.

-Decisions outside this are subject to coaching selectors discretion-
AGE GROUP: *
* Reminder that players WILL ONLY be able to trial in their corresponding age group as at 31/12/2023*
If previously played futsal please provide name of club?
Years playing futsal *
Position Previously Played?*
Email*
example@example.com
1. Primary Player/Parent Mobile Contact Number*
Please enter a valid phone number.Format: 0000 000 000.
2.Additional Parent Contact Details*
Address*

Unit/Street Number & Name

SuburbState

Postcode
Medical Conditions (Asthma/Allergies):
For the safety & wellbeing of players please disclose conditions which may effect your participation.
Current outdoor club
In providing ENFILED ALLSTARS FC with the above information,

I agree to:

a)       To assume all risks arising out of, associated with or related to my participation;

b)       To be solely responsible for any injury, loss or damage that I may sustain while participating; and

c)       To release the organization from liability for any and all claims, demands, actions and costs that might arise out of my participating, even though such risks, injuries, loss, damage, claims, demands, actions or costs may have been caused by the negligence of the organization.

e) Upon selection to represent ENFIELD ALLSTARS FUTSAL CLUB in the 2023 season, you agree to pay a non-refundable deposit of $200.00 to secure my spot at the club for the season that will be deducted from the overall season registration fees.
YES I agreeNO I disagree
Follow us on Facebook (Enfield Allstars FC) & Instagram (enfield.allstars) to keep informed of all the upcoming club annoucments, news and events.

WE LOOK FORWARD TO SEEING YOU THERE!
Todays date*

DayMonthYear
Date
2023 PLAYER SELECTED (YES / NO)
Internal use only
2023 SQUAD ALLOCATION
Internal use only
Should be Empty:

2023 ENFIELD ALLSTARS