2025 Geelong All Abilities Registrations

2025 Geelong All Abilities - Express your Interest!

If you would like to participate in a FREE 6-week All Abilities program for players with a disability local to you, ran by certified Football Victoria coaches, please fill in this form to register!
Please read the below before filling out the form.

Program Locations Information:

ARMSTRONG UNITED FC
Thursdays starting the 30th of October 2025 (6-weeks)
5.00pm-6.00pm
Armstrong Creek

GEELONG SC
Tuesdays starting 11th November (6-weeks)
5.00pm-6.00pm
Norlane

NORTH GEELONG FC
Tuesdays starting the 28th of October 2025 (6-weeks)
5.45pm-6.45pm
North Geelong

(PROGRAM FULL) SOUTHERN GEELONG HUB (Deakin Ducks FC & Colac Otway Rovers FC)
Saturdays Starting the 1st of November 2025 (6-weeks)
10.00am-11.00am
Warrun Ponds

Program Details:
- Who can participate: Participants aged 5 to 18 with a disability or impairment. The program's are beginner friendly, ran by certified coaches.
- Cost: The program is completely free
- Registration: Participants must register via this form to participate
More details about your clinic will be sent out before the first session. Please email allabilities@footballvictoria.com.au if you have any questions.

We look forward to seeing you there!

Please select "next" to begin the registration process.

Program Selection
Please note that the Southern Hub program is currently at FULL CAPACITY and closed for registrations. We encourage you to register for a different location, or email allabilities@footballvictoria.com.au if you'd like to be added to the waitlist.
Which Program would you like to register for?*

Geelong SCNorth Geelong FCArmstrong United SC
If you would like to participate in more than one program, please state which programs below.
Please note, that these programs are run in collaboration between Football Victoria and clubs. This means that your registration information will be shared between your club of participation and Football Victoria (Governing body).*

Yes, I understand.

Participant Registration Details
Participant name*

First NameLast Name
Date of birth*

MonthDayYear
Date
Gender*
Suburb of residence*
Participant's Disability (Optional) Please note that this program is for participants with a disability*
Are there any medical conditions we should be aware of (e.g. asthma, seizures, allergies)?*
Behviour Support Plan
Does the participant have a Behaviour Support Plan or other support strategies that would help our coaches understand how to best support them during sessions? If yes, would you like to share a copy or key details with our program coordinator or coach?

YesNo
Behviour Support Plan Upload. (Optional) If shared, these will be kept highly confidential between Football Victoria All Abilities Coordinator Staff member, the club and Football Victoria coaches.

Cancelof
Photo Permission
Do you give permission for photos or videos of the participant to be taken and used for program promotion (e.g., on social media, website, or reports) by your club, Football Victoria and partners?*

YesNo

Emergency Contact details

Please provide and emergency contact, separate to the previous contact.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to participant*

Other Information (Optional)
Is there anything we can do during the session to ensure the participant feels most supported?
Is there anything else we may need to know?
Should be Empty:

2025 Geelong All Abilities - Express your Interest!