2025 FV Pathway Project - Registration & Payment
Learn from international coaches
Player Information
Player Full Name
*
First Name
Last Name
Player Date of Birth
*
/
Month
/
Day
Year
Date
Current or potential eligible passport?
*
2025 Club
*
Current Playing Level
*
Preferred Position 1
*
If GK, please only fill out this preferred position box
Preferred Position 2
Emergency Contact Information
Emergency contact full name
*
First Name
Last Name
Relationship to player
*
Emergency contact email address
*
example@example.com
Emergency contact 2nd email address
*
example@example.com
Emergency contact number
*
Please enter a valid phone number.
2nd Emergency contact number
*
Please enter a valid phone number.
Additional Information
Do you consent to the use of any images/videos taken of you to be used in promotional materials?
*
Please Select
Yes
No
Does the player have any medical conditions that FV staff & coaches need to be aware of?
*
Does the player have any dietary requirements FV staff & coaches need to be aware of?
*
Does the player have any current or past injuries that may affect their performance or ability to participate in the experience? If so, please explain.
*
Is there any additional information you would like to provide us that is not already outlined in this form?
Payment
My Products
*
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( X )
Outfield Player
$
600.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Goalkeeper
$
800.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: