Kellyville United Football Club
2027 Season U/21 Division 1 Trial EOI Form
Player Surname
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Player First Name
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Player Date of Birth
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Phone Number
*
Email Address
*
If under 18 years Parent/Guardian Name
If under 18 years Parent/Guardian email address
If under 18 years Parent/Guardian phone
What football club did you last play for?
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Playing history (eg leagues, divison, highest level etc)
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What are your preferred playing positions?
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Are you open to playing in other positions that best suit the team?
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Yes
No
Would you like to be contacted by the club for more information?
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Yes
No
Insurance Agreement: By submitting this form do you acknowledge that to claim insurance for an injury incurred during the trials, you must register for Kellyville United Football Club in the 2027 Winter Season.
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Yes
Additonal comments
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