Eastern Suburbs FC - Girls Divisional Teams - Expression of Interest
Girls Divisional Teams - Expression of Interest
EASTERN SUBURBS FC - Girls Divisional Teams - EXPRESSIONS OF INTEREST
Mini Roos - Small Sided Football
Girls Under 6 (Players Born 2011) - Expression of Interest
Girls Under 7 (Players Born 2010) - Expression of Interest
Girls Under 8 (Players Born 2009) - Expression of Interest
Girls Under 9 (Players Born 2008) - Expression of Interest
Girls Under 10 (Players Born 2007) - Expression of Interest
Girls Under 11 (Players Born 2006) - Expression of interest

Girls Under 12 Division 2 (Players Born 2005-2006)
Girls Under 12 Division 1 (Players Born 2005-2006)
Girls Under 14 Div 1 (Players Born 2003-2004) - Expression of Interest
Girls Under 15 Div 1 (Players Born 2002-2003) - Expression of Interest
Girls Under 16 Div 2 (Players Born 2001-2002) - Expression of Interest

These are the Girls Divisional Teams that we anticipate having for the 2017 (Numbers Permitted).

For any additional information please direct all enquiries to administration@eastsfootball.com

Player Details
Players First Name *
Your answer
Players Surname *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Do you have an FFA Player Registration Number? *
Football Federation Australia registration number if applicable
What is your FFA Registration Number?
Football Federation Australia registration number if applicable
Your answer
Please confirm the group you wish to be considered for *
Girls Divisional Teams competing in Football Brisbane Leagues and Minis Roos - Small Sided Football
Last Club played at in 2016 *
Please select from drop down list
Club or school if outside of Football Brisbane / Football Queensland NPL Leagues
Your answer
Competition and Division Played *
Eg: Sunshine Coast Under 15 Division 1
Your answer
Preferred Playing Position
Please indicate where the player prefers to play
Contact Information
Please provide contact information for the player nominated. If that is a Parent or Guardian please complete appropriately
Player or Parent/Guardian Name *
Please provide parent/guardians details as the player is Under 18 years of age.
Your answer
Contact Phone Number *
This is the emergency contact number during the trial period
Your answer
eMail address *
Please provide a valid email address. There will be further confirmations and additional information provided prior to the trial dates.
Your answer
Any medical condition that we need to be aware of? *
Please make us aware of any allergies, illness or injuries...
Your answer
Parent/Guardian Authorisation
Check this box if you DO NOT permit Eastern Suburbs FC to utilise photos and videos taken of your daughter at the trials sessions for marketing purposes.
EASTERN SUBURBS FC Female Football Program --- Heath Park, 48 Hilton Street, East Brisbane Qld 4169
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