Form
Bilston Town Women FC
Expression of interest for 26/27 season
What is your full name
*
First Name
Last Name
Date of birth
*
/
Day
/
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Email address
*
example@example.com
Your Mobile contact number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of parent / guardian if under 18
First Name
Last Name
Email of parent / guardian if under 18
example@example.com
Contact number of of parent / guardian if under 18
Back
Next
You as a footballer
What is your main position you play
*
GK
Left back
Right back
Centre back
CDM
CM
CAM (10)
right wing
left wing
striker
Name of the most recent team you played for.
*
When did you play for this team (include season)
*
What tier’s have you previously played in?
*
What league & division did your last team play in?
*
Which footed are you?
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Left foot
Right foot
What would you say are your strengths as a footballer?
Is there any particular reason your looking for a new team?
What other positions can you play
*
GK
Centre Back
Left back
Right back
CDM
Right wing
Left wing
Cm
CAM (10 role)
Striker
Type option 2
Type option 3
Type option 4
Please list the previous 3 teams (before your last one ) that you played. Including year and division/league
Any current / previous / long serving injuries we should be aware of?
Do you know anyone already playing for Bilston town Women ?
*
Yes
No
Back
Next
If you answered yes to knowing someone already in the team. Please specify their name and how you know them.
Any allergies or medical conditions you have that maybe impacted / exasperated by football? (Eg; asthma, diabetes, hayfever, etc)
What do you do for employment? (Eg, student, teacher, at uni, )
How will you be getting to training (please note we run a policy that if you miss training you don’t get selected for the starting line up (unless absolutely needed through late injury or illness)
*
Submit
How will you be getting to away matches- (the distance we cover can be as far as Stoke)
*
Anything else you think we should be aware of?
Submit
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