Para Football Come & Try Day/Talent ID Registration Form

Para Football Talent ID/Come and Try Day

For participants living with Cerebral Palsy, an Acquired Brain Injury or Stroke
DAY 1

Date: Wednesday 16th April 2025

Location: Lake Macquarie Regional Football Facility- Speers Point

Time: 12-3pm

DAY 2

Date: Saturday 31st May 2025

Location: Lake Macquarie Regional Football Facility- Speers Point

Time: 2-5pm

DAY 3

Date: Sunday 22nd June 2025

Location: Coffs Coast Synthetic-Coffs Harbour

Time: 8:30-11am

Registration for Day 3 closes 5pm Thursday 19th of June
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Parent / Guardian / Carer Full Name:*
Parent / Guardian / Carer Contact (Mobile): *
Date of Birth*

MonthDayYear
Date
Gender*
Which Day Are You Attending?*

Day 1Day 2Day 3
Impairment Type

Cerebral PalsyAcquired Brain InjuryStroke
Do you use a wheelchair for daily mobility?

YesNo
Do you use any other sporting or mobility aids?

YesNoOther
What sports are you currently involved in?*
What sports have you previously participated in?*
Have you previously been classified?*

YesNo
Please list any disability, disability sport organisations or sport organisations that you are a member of:
Please list any other additional support that you may require to confidently participate in this event:
Do you already play football with a local club?
Have you participated in a NNSWF event before (Come & Try/Talent ID, Para Nationals, etc.)?
How did you hear about this event?

Social MediaNorthern NSW WebsitePoster / FlyerOrganistation email or newsletterWord of mouthOther
Contact Serena Carter at scarter@nnswf.com.au for any enquiries.
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Para Football Talent ID/Come and Try Day