2026 APIA Leichhardt FC Girls and Women's EOI
CURRENT APIA PLAYERS DO NOT NEED TO FILL OUT A FORM
Player Full Name
*
First Name
Last Name
Player Date of Birth
*
Age Group Applying For
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U10 Girls SAP
U11 Girls SAP
U12 Girls SAP
U13 Girls SAP
U14 Girls
U15 Girls
U16 Girls
U18 Girls
Seniors
Preferred Position
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Goalkeeper
Defender
Midfielder
Striker
Applying for JDL
Club in 2025
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Age Group Playing in 2025
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Player Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Person Contact Name
*
First Name
Last Name
Primary Contact Email
*
example@example.com
Primary Contact Mobile Number
*
Player Contact Number
More Positional Information i.e Holding Midfielder, Left or Right Back etc
*
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*This form is covered under the The Privacy and Personal Information Protection Act 1998 (PPIP Act) which protects your privacy rights in NSW by making sure that your personal information is properly collected, stored, used or released by NSW public sector agencies.
None of the names, numbers or details included in this form can or will be revealed other than to the intended people.
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