Over 55s Charity Match Expression of Interest
Share your details and preferred position to register your interest for the match (date and confirmation are tentative)
Full Name
*
First Name
Last Name
Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
Emergency Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Playing Position
*
Goalkeeper
Centre Back
left/ Right Back
Defensive Midfielder
Central Midfielder
Attacking Midfielder
Left/ Right Wing
Striker/ Forward
Happy to play anywhere
I confirm that I will be aged 55 or over on match day.
*
I confirm that I will be aged 55 or over on match day.
I understand that this is an expression of interest only and that the proposed match date, kick-off time and event are subject to confirmation based on sufficient player numbers.
*
I understand that this is an expression of interest only and that the proposed match date, kick-off time and event are subject to confirmation based on sufficient player numbers.
Submit Expression of Interest
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