Brunswick City Soccer Club Under 20 & 23 - VPL1
2027 Expression of Interest
Player Name
*
First Name
Last Name
FFA Number
*
eg. 11512816
Date of Birth
*
-
Year
-
Month
Day
4 digit year, 2 digit month, 2 digit day
Date
Mobile
*
Please enter a valid phone number.
Format: 0000 000 000.
Primary E-mail
*
Confirmation Email
example@example.com
Address
*
Street Address
Suburb
City
State
2026 Age group
*
Please Select
YPL16
YPL18
YSL16
YSL18
VPL20
VPL23
NPL20
NPL23
2026 Club
*
eg. Brunswick City
Which team are you interested in trialing for?
Under 23
Under 20
Secondary Email
*
example@example.com
Additional information (eg. Previous Clubs, etc)
Medical Conditions/Allergies we should know about?
Preferred Position or Role/s
Goalkeeper
Right Back/Wingback
Centreback
Left Back/Wingback
Defensive Mid
Central Mid
Attacking Mid
Right Winger
Left Winger
Striker
Submit
Should be Empty: