Player Registration of Interest for Season 2025
Player and parent details
Players Name
*
First Name
Last Name
Parents Name (if applicable)
First Name
Last Name
What is the players Date of Birth?
*
-
Day
-
Month
Year
Date
Contact Email
*
example@example.com
Contact Phone Number
What school is the player attending in 2024? (If not attending school please put "NA")
*
School name
Previous Team (If none, please put "NA")
*
Previous club or team name
How did you hear about Barossa United?
Submit
Should be Empty: