JUNIORS & MINIROOS EOI

1

Player Name* This field is required.

First Name

Last Name

2

Player Date of Birth

Date

3

Current Clube.g. Upfield Soccer Club

4

Participation and Level Team in 2024e.g. Under 9 Wallabies

5

Participation Team in 2023e.g. Under 9 Wallabies

6

Player Positione.g. Goalkeeper

7

Parent Contact Name

First Name

Last Name

8

Parent Mobile Number* This field is required.

04xx xxx xxx

9

Parent Contact Email* This field is required.

example@example.com