Expression of Interest

Player Expression of Interest

Please fill in the below details to register your interest in playing for Green Gully Soccer Club for Season 2027.
Player Name

First NameLast Name
Player Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Gender
Phone Number

Mobile Prefix Mobile Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email
example@example.com
Please select preferred playing position: (Tick all that apply)
Were you selected/signed to a Club for 2026 season?
Please list your most recent club which you played for:
Example: If you were signed to play with Green Gully in 2026 please enter "Green Gully". If you haven't played previously please enter "None"
Please list your SECOND most recent club which you played for:
Example: If you were signed to play with Green Gully in 2026 and 2025, and Avondale in 2024, please enter "Avondale". If you haven't played previously please enter "None"
Male Age Group in 2026
Which group did you play in?
Which group did you play in?
Which group did you play in?
Female Age Group in 2026
Which group did you play in?
Which group did you play in?
Which group did you play in?
Preferred Age Group for 2027
Example: A player who is aged 18 years old in 2026 might select U23s Men as their Preferred age group here, and for their Secondary Preferred Age Group (below) select U18s Men. This will enable you to be provided details for trials for both teams.
Secondary Preferred Age Group for 2027
Refer to Example in "Preferred Age Group for 2026 above" for further information.
If the opportunity arises, I am willing to trial with or be selected for a team above my age group
Does the player have any current or previous injuries, or existing medical conditions that Green Gully Soccer Club should be aware of during trials:
Please provide details of previous injuries or existing medical conditions.
I hereby declare that the information I have provided is true and accurate.
Name: Parent/Guardian permission:
Only required if player is under 18.
Player Year of Birth Born
Should be Empty:

Player Expression of Interest