Burwood City Women’s Team – Expression of Interest State League
Share your details and playing preferences so we can contact you about trials and training.
Player Details
Full name
*
First Name
Last Name
Date of birth
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email
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example@example.com
Mobile
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Please enter a valid phone number.
Format: (000) 000-0000.
Suburb
How did you hear about us?
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Social media
Friend
Website
Other
Playing Experience
Experience level
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Never played
Social
Senior club
State league or higher
Previous club(s)
Preferred position(s)
Goalkeeper
Defence
Midfield
Attack
Not sure
Interested in
Seniors
Reserves
Social
Emergency Contact
Name
First Name
Last Name
Relationship
Phone
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Format: (000) 000-0000.
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