ARMADALE SOCCER CLUB JUNIORS
2027 Season - Expression of Interest U12 Academy 2015 Birth Year Only
Disclaimer: All information provided in this form must be true and accurate at the time of submission. Providing false or misleading information will result in your application being withdrawn and no trial opportunity will be offered. Incomplete forms or unanswered questions may also result in your application being unsuccessful. Please ensure all required fields are filled out and information is provided honestly and accurately
Players Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birthdate
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Parent/ Carer 1 Name
*
First Name
Last Name
Parent/ Carer 1 Email
*
example@example.com
Parent/ Carer 1 Phone Number
*
-
Area Code
Phone Number
Primary Playing Position?
*
Secondary Playing Position?
*
Preferred Foot
*
Most Recent Club | Current Club for the Season 2026? - ***MUST Include League & Division Played Example ASC U11 Blue Guppies
*
Previous Playing History | Footage Links etc
Playing CV
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✅ Do you agree to abide by Armadale Soccer Club’s Player Code of Conduct, available on our website: www.armadalesc.com.au ?
*
Yes I accept the Players code of Conduct
No I do not accept the Players Code of Conduct
✅ Do you (as parent/carer) agree to abide by Armadale Soccer Club’s Spectator Code of Conduct, available on our website: www.armadalesc.com.au
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Yes I accept the Spectators code of Conduct
No I do not accept the Spectators Code of Conduct
IMPORTANT PRIVACY & MEDIA CONSENT By submitting this form, you consent to Armadale Soccer Club collecting and using personal information (e.g., player name, date of birth, emergency contacts, and medical information) for registration, team management, and safety purposes. You also consent to your child’s name and photograph/video being recorded and/or published in club media (e.g., newsletters, website, Facebook, Instagram).This consent can be withdrawn at any time by the member or parent/guardian by submitting a request in writing to the Club Secretary at secretary@armadalesc.com.au
*
Yes, I accept
No, I do not accept
Submit
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