2026 Pirates Development Trial Form
Register for the football trial below
Player Name
*
First Name
Last Name
Date of Birth
*
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Player Age Group in 2026
*
Please Select
Under 8
Under 9
Under 10
Under 11
Under 12
Under 13
Under 14
Under 15
Under 16
Under 18
Club Played 2025
*
Previous Club
Age Group Played in 2025
*
Please Select
Under 8
Under 9
Under 10
Under 11
Under 12
Under 13
Under 14
Under 15
Under 16
Under 18
Division in 2025
*
Level played
Preferred Position
*
GK
LB
CB
RB
CDM
CAM
LW
CF
RW
Preferred Foot
*
Right
Left
Both
Medical concerns
*
None
Yes
Other
FFA/DRIBL No:
*
Football Identification number
Club Played 2024
*
Previous Club
Division played 2024
*
Level played
Player E-mail
Player Mobile
-
Area Code
Phone Number
Suburb you live*
*
Name of School
*
Parent / Carer Name
*
First Name
Last Name
Parent / Carer E-mail
*
example@example.com
Parent / Carer Mobile
*
-
Area Code
Mobile Number
How did you hear about the Program
*
Please Select
Facebook/Instagram
Google
Pirates Website
Flyers
School Program
Word of Mouth
Other
Additional information
Any additional information about your child.
Submit
Should be Empty: