Pro Soccer Hub Player Enquiry Form

PRO SOCCER HUB PLAYER ENQUIRY FORM

Launching early 2025. Please register your interest below:
Player & Contact Details

Please fill out the prompts below:
Player Full Name*

First NameLast Name
Guardian / Parents Names*

First NameLast Name
Birth Date*

DayMonthYear
Gender*

MaleFemaleOther
Residential Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Contact (Mobile)*
Secondary Contact (Mobile)
E-mail (Primary Contact)*
example@example.com
Playing Experience

Please include your Football experience below:
Who is your current Football Club?*
Current / Past Academies (if applicable)
What is your current playing level?*
What is your preferred playing position?*
How many years have you been playing Football?*
Additional Information

Please follow the prompts below:
Why would you like to join Pro Soccer Hub?*

Improve Technical SkillsMake New FriendsAccess to Specialist Services (Nutrition, Physiotherapy, Sports Psychology, Strength & Conditioning)Improve Physical FitnessPlay at an Elite LevelOther
What types of sessions would you prefer to be in?*

1:1 SessionsGroup Session (2-5 Participants)Group Session (5+ Participants)
In addition to your Club training, how many sessions would you like to participate in weekly?*
What would be your preferred training days?*

Monday (AM)Monday (PM)Tuesday (AM)Tuesday (PM)Wednesday (AM)Wednesday (PM)Thursday (AM)Thursday (PM)Friday (AM)Friday (PM)Saturday (AM)Sunday (AM) - only applicable for 1:1 sessions
Would you be interested in School Holiday Clinics? This would be at an additional cost.*

YesNo
Any additional information you'd like to tell us? (i.e. injury, illness, disability)
Declaration

Please confirm the following:
Release of Liability

Although the safety of all sport activities is the primary concern at Pro Soccer Hub, outdoor sport activities may cause injuries and/or death. I expressly assume the risk of injury, death, and/or illness arising from any cause, and agree to waive the right to pursue any claim against Pro Soccer Hub and the persons in charge.
I have read and agree to the above Release of Liability*

YesNo
Social Media Release

I give permission to Pro Soccer Hub to photograph, video and/or interview my child and use his/her image/photograph/video/voice recording (including still and motion
formats) in printed and digital materials and websites produced for Pro Soccer Hub. Possible uses include, but are not limited to, reports, brochures, fact sheets, websites, case studies, promotional videos and multimedia presentations including social media.

The information on this form is collected in order to obtain your consent to the publication of your child’s image. The information collected on this form will be used for the purpose for which you have provided, and we will not disclose it without your consent, unless authorised or required by law.

Please note that, if you wish to withdraw your consent at a future date, you should contact us at prosoccerhub@gmail.com
I have read and agree to the above Social Media Release*

YesNo
I, blanks confirm that all the information provided is accurate and truthful. By signing the below, I am declaring that myself (or my child) is expressing interest in joining Pro Soccer Hub.
Signature*

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Thank you for registering your interest with Pro Soccer Hub.

Should you have any questions or concerns, please contact Head Coach Sash Drijovski on 0435 951 851
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PRO SOCCER HUB PLAYER ENQUIRY FORM

Player & Contact Details

Playing Experience

Additional Information

Declaration

Release of Liability

Social Media Release

Thank you for registering your interest with Pro Soccer Hub.