Para Football Identification Day Form

Para Football Identification Day

For participants 8 years and older living with Cerebral Palsy, an Acquired Brain Injury or Stroke
DAY 1-Girls and Womens

Date: Monday 15th September 2025

Location: Lake Macquarie Regional Football Facility- Speers Point

Time: 6-7pm for 8-14 year old girls and 7-8pm for 14 years old and older

DAY 2-Boys and Men

Date: Monday 22nd Septmeber 2025

Location: Lake Macquarie Regional Football Facility- Speers Point

Time: 6-7pm for 8-14 year old boys and 7-8pm for 14 years old and older

Registration closes 5pm Monday 8th of September
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Parent / Guardian / Carer Full Name:*
Parent / Guardian / Carer Contact (Mobile): *
Date of Birth*

MonthDayYear
Date
Gender*
Impairment Type

Cerebral PalsyAcquired Brain InjuryStroke
Do you use a wheelchair for daily mobility?

YesNo
Do you use any other sporting or mobility aids?

YesNoOther
Have you participated in a NNSWF event before (Come & Try/Talent ID, Para Nationals, etc.)?
How did you hear about this event?

Social MediaNorthern NSW WebsitePoster / FlyerOrganistation email or newsletterWord of mouthOther
Contact Serena Carter at scarter@nnswf.com.au for any enquiries.
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