2027 New Player Expression of Interest - Palm Beach Currumbin JAFC
Share your child’s details and why you’re interested in joining for the 2027 season.
Child's First Name
*
Child's Last Name
*
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Gender
Male
Female
2027 Age Group
*
Please Select
8's – born 1 Jul 2018 to 30 Jun 2020 (Year 2 & 3)
9's – born 1 Jul 2017 to 30 Jun 2018 (Year 4)
10's – born 1 Jul 2016 to 30 Jun 2017 (Year 5)
11's – born 1 Jul 2015 to 30 Jun 2016 (Year 6)
13's – born 1 Jul 2013 to 30 Jun 2015 (Year 7/8)
15's – born 1 Jul 2011 to 30 Jun 2013 (Year 9/10)
17's – born 1 Jul 2009 to 30 Jun 2011 (Year 11/12)
Not sure
Parent/Contact First Name
*
Parent/Contact Last Name
*
Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Last club your child played with — write N/A if they have never played
*
Why have you chosen Palm Beach Currumbin as your club of choice?
*
Do you have any other children already playing at the club?
Yes
No
Anything else you'd like us to know?
Submit
Should be Empty: