Senior Women Football Expression of Interest
Share your details to receive information relating trials and teams for our Senior Women's Football including U16-U18 Girls, Metro women and FQPL3 Women's program at Southport Soccer Club.
Player's Full Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Current Club/Team
*
example@example.com
Current Club and Team
*
-
Area Code
Phone Number
Previous Soccer Experience
No experience
Less than 1 year
1-2 years
3+ years
Other
Program of Interest
Under 16 girls
Under 18 girls
Metro Women
FQPL3 Women
Preferred Playing Position
Goalkeeper
Defender
Midfielder
Forward
Other
Submit Expression of Interest
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