You can always press Enter⏎ to continue
Junior Academy Expression of Intrest
Please complete the form to register you interest to be a part of our Hume Junior Teams for the 2026/2027 Season
8
Questions
START
1
Players Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Players Gender
*
This field is required.
Please Select
Male
Female
Please Select
Male
Female
Previous
Next
Submit
Press
Enter
3
Players Date of Birth
*
This field is required.
-
Date
Year
Month
Day
Previous
Next
Submit
Press
Enter
4
Parent/Carer Name
*
This field is required.
This person will be our primary contact
First Name
Last Name
Previous
Next
Submit
Press
Enter
5
Parents Primary Phone Number
*
This field is required.
Please enter a valid phone number
Previous
Next
Submit
Press
Enter
6
Player Position
*
This field is required.
Please select
Please Select
Goal Keeper
Field Player
Both
Please Select
Goal Keeper
Field Player
Both
Previous
Next
Submit
Press
Enter
7
What age group would you like to trial for?
*
This field is required.
Note: All Girls teams play on Saturday afternoons
U8 Boys Friday
U8 Boys Saturday
U10 Girls
U10 Boys Saturday
U10 Boys Friday
U12 Girls
U12 Boys Friday
U12 Boys Saturday
U14 Girls
U14 Boys
U16 Girls
U16 Boys Friday
U19 Girls
U19 Boys
U23 Mens
Previous
Next
Submit
Press
Enter
8
Please specify any previous Futsal/Soccer expreince
*
This field is required.
E.g. Previous Futsal Club, Tournament Experience, Representative Futsal or Outdoor Soccer, Club level or Tournament Experience
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
8
See All
Go Back
Submit
