PDSSSC Registration form

This form is for registration for a particular PDSSSC Trial or Squad or Team. You MUST complete this form to attend a PDSSSSC Selection trial or if you have been selected in a PDSSSC Squad or Team. One form is to be completed per child per sport. Please complete the form and then click SUBMIT This form is an EXPRESSION OF INTEREST and MUST be approved by your child's school in order for them to attend the nominated trial or event.
(*Required field)
Sport or Team you are registering for
Please select carefully from the following list of Sports or Teams for particular sports
Student's first name
Your answer
Student's Surname
Your answer
Student's date of birth
Date of birth is to be in dd/mm/yyyy format
Your answer
Student's Address
Please list your current address - house number, street name, suburb and postcode.
Your answer
Student's School Name and Suburb
Please select from the following list
Student's Current Year of School
Please select from the following list
Student's Gender
Please select from the following list
Parent / Guardian First Name
Your answer
Parent / Guardian Surname
Your answer
Parent / Guardian Email Address
Your answer
Parent / Guardian Mobile Phone Number
Your answer
Contact name in case of emergency
Please list other parent or guardian or another person to contact.
Your answer
Contact number in case of emergency
Please list a contact number for the person listed above
Your answer
Do you have a medical condition and / or medical plan that we should be aware of??
Please be specific, in case of a medical crisis or treatment being necessary.
Your answer
List your Number 1 preferred position for this sport
To help with selections for teams sports, please list your number 1 preferered position.
Your answer
List your Number 2 preferred position for this sport ( If a team sport)
To help with selections for teams sports, please list your number 2 preferered position.
Your answer
Give a brief player history including present club/grade or division if appropriate. ( If a Team sport)
Your answer
List your Representative experience related to this nominated sport
Your answer
Parental Consent
Please tick the appropriate boxes if you give permission
Required
Submit
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