Futsal Academy 2025 EOI

1

This form is for players (boys & girls aged 11 to 18) to register for a place in the NNSWF Futsal Academy and Development Centres for 2025 - an integral part of the pathway to the FA National Futsal Championships 2026.

Payment and PlayFootball registration will be send out before the first session.

Please see information pack for details.

If you have any queries, please contact Damon Shaw at dshaw@northernnswfootball.com.au

2

Name* This field is required.Name of player

First Name

Last Name

3

Gender

Male

Female

Other

4

Have you participated in TSP for outdoor?

Yes

No

5

Date of birth* This field is required.

Date

7

Playing position* This field is required.

Goalkeeper

Fixo (Defender)

Winger

Target (Forward)

8

Futsal Club and Futsal LeagueYour 2025 futsal CLUB and LEAGUE

9

Football Club and LeagueYour 2025 Football Club and League

10

Any other comments

11

Parent/guardian Name

First Name

Last Name

12

Contact phone number* This field is required.

13

Contact email* This field is required.

14

Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

15

Media consentPlease confirm whether you give permission for group and individual photos and/or filming to be taken of the player detailed on this form, and understand that these may be used for training, publicity and/or archive purposes.

Yes

No

16

Thank you