Lowland Wanderers Premier League

Waratah League

Trial Registration Form
Contact Name*

First NameLast Name
Date Of Birth*

DayMonthYear
Date
Playing History:*
Preferred Position*
E-mail*
FFA of Dribl Number
Phone Number*
I will be attending trials at Bensons Lane on

November 11thNovember 13thNovember 18th
If Under 18 - Guardian Details
Guardian Name

First NameLast Name
Guardian Phone
Insurance Agreement:

By submitting this form you acknowledge, that to claim insurance for an injury during the trials, the player must register for Lowland Wanderers in the 2026 Winter Season.
Should be Empty:

Waratah League