2027 MBUSC State League Player EOI

Thank you for your interest in joining Mount Barker United for the 2027 Season!

This registration form is for players wishing to be considered for a State League team (U18, Reserves or First Team)

If you have any questions, please contact Mark Newbery- Td@mbusc.com.au

Player's Name

First NameLast Name

Player's Date of Birth

DayMonthYear

Player Address

Player Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Player Email

example@example.com

Position preference on the pitch:

This helps guide our coaches on which position(s) your trialing for and where you play your best.

Parent Name (if applicable)

First NameLast Name

Parent Email Address (if applicable)

Parent Phone Number (if applicable)

Last Club and level played

Playing History

Reason for leaving current club/interest in joining MBUSC

Have you got interest in?