Academy 2027 Trial Enrolment Form
Trials will be held at Sturt Lions Football Club on Saturday 12th September at Karinya Reserve Northcote Rd &, Shepherds Hill Rd, Eden Hills SA
Player First Name
*
Player Last Name
*
Date of Birth
*
-
Day
-
Month
Year
Date
Current Age
*
Gender
*
Male
Female
Postcode
*This program is open to Australian residents only. Please enter an Australian postcode to continue
Country
*
Please Select
Australia
Previous playing experience
*
No experience
School
Club
Federation
Academy
Other
How many years of experience does the player have?
*
At which academy/school/club did the player gain this experience?
*
Does the player have any pre-existing medical conditions
*
Session Selection
It is recommended that players attend both trial dates where possible! *Please hold down the CTRL button to select more than one session from each section.
Trial: Saturday 12th September, 5-6 PM
U6: 2022 - 2021 born
U7: 2020 born
U8: 2019 born
U9: 2018 born
U10: 2017 born
Trial: Saturday 12th September, 6-7 PM
U11: 2016 born
U12: 2015 born
U13: 2014 born
U14: 2013 born
Do you consent to your child being photographed or recorded for use in Soccer By Design’s promotional materials, including social media and our website?
*
Please Select
YES
NO
Do you consent to Soccer By Design seeking medical treatment for your child, including calling an ambulance if required, and accept responsibility for any associated costs?
*
Please Select
YES
NO
I understand that participation in soccer and related activities involves a degree of risk and agree that Soccer By Design, its staff, and volunteers are not liable for any injury, loss, or damage, except where required by law.
*
Please Select
YES
NO
Parents Name
*
First Name
Last Name
Phone Number
*
Email
*
example@example.com
Please verify that you are human
*
Submit
Print Form
Should be Empty: