Essendon Royals SC - Women's & Girls Program Expression of Interest for 2020

Age Group

Players Name

First NameLast Name

Player Date of Birth (DD/MM/YYYY)

Are you an Australian Citizen or Permanent Resident

YesNo

Parent One

First NameLast Name

Parent Two

First NameLast Name

Address

Street Address

Suburb

Post Code

Mobile Contact

Area CodePhone Number

E-mail

School and Campus

Club Played in 2018

Current Club 2019 and Age Group

Representative Squads - State or TIDC

Brief playing history and any additional information

What do you want to achieve in your Football Journey?

Preferred Position

Preferred Foot

RightLeft

Additional Info for Positions

Any planned holiday periods in 2020 and time away?

All submissions of Expression of Interest are completely confidential, and will not be discussed with any outside parties, and only limited personnel from with the club.

Our senior women's coach is AFC/FFA B-Licence qualified, and currently completing hisAFC/FFA A-Licence, with the Head of Women's Football AFC/FFA C-Licence qualified.

Should you wish further information, please contact Club Technical Department, Mick Gallo - Ph: 0449 767 235 or Email: michelegallo@live.com.au or Jessica Gallo - Ph: 0449 767 236 or Email: jessicagallo@live.com.au