2027 PRIMAVERA ACADEMIA TRIALS
Players Name
*
First Name
Last Name
Parents Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parents Email
*
example@example.com
How does the player identify
*
Female
Male
Other
Date of Birth
*
-
Day
-
Month
Year
Date Picker Icon
What is your current age group that you play for Club/Academy?
*
Please Select
U8
U9
U10
U11
U12
U13
U14
U16
U18
Which club do you currently play for?
*
Azzurri United Football Club
Primavera Academia, Azzurri United Football Club (Full time program)
Hellenic Athletic Club
Casuarina Football Club
Garuda Football Club
Darwin Olympic Sporting Club
Palmerston Rovers Football Club
Litchfield Football Club
Port Darwin Football Club
Greater Palmerston United Football Club
Darwin Hearts Football Club
Mindil Aces Football Club
FNT Academy
Other
Which session will your athlete attend? Athletes MUST attend both sessions
*
U9 Boys & Girls - Monday 26 October & 02 November (Born in 2018)
U10 Boys & Girls - Monday 26 October & 02 November (Born in 2017)
U11 Boys & Girls - Monday 26 October & 02 November (Born in 2016)
U12 Boys & Girls - Tuesday 27 October & 03 November (Born in 2015)
U13 Boys & Girls - Tuesday 27 October & 03 November (Born in 2014)
U14 Boys & Girls - Tuesday 27 October & 03 November (Born in 2013)
U15 Boys & Girls - Wednesday 28 October & 04 November (Born in 2012)
U16 Boys & Girls - Wednesday 28 October & 04 November (Born in 2011)
U17 Boys & Girls - Wednesday 28 October & 04 November (Born in 2010)
U18 Boys & Girls - Wednesday 28 October & 04 November (Born in 2009)
Video and photo consent question
*
Yes
No
Does the player have a medical or physical condition that we have to be aware of?
*
No
Yes
What is the medical or physical condition and what do we need to know?
*
Submit
Should be Empty: