Para Football Identification Day Form 2026

Para Football Identification Day

For participants 8 years and older living with Cerebral Palsy, an Acquired Brain Injury or Stroke
Date: Monday 2nd January 2026

Location: Lake Macquarie Regional Football Facility- Speers Point

Time: Start from 6pm

Registration closes Thursday 29th of January
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.)?
Do you consent to be photographed for NNSWF's website and social media?

YesNo
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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