BROADMEADOW MAGIC NEW PLAYER EXPRESSION OF INTEREST FORM

Complete the form below to convey your expression of interest to be considered for a trial at Broadmeadow Magic FC SAP and NPL Youth Squads for Season 2019.

Email address *
PLAYER NAME *
Your answer
PLAYER DATE OF BIRTH *
MM
/
DD
/
YYYY
2019 GRADE TRIALLING FOR *
Required
CURRENT POSITION *
POSITION TRIALLING FOR (Primary) *
POSITION TRIALLING FOR (Alternate)
PRIMARY CONTACT NAME *
Your answer
PRIMARY CONTACT RELATIONSHIP WITH PLAYER *
Your answer
PRIMARY CONTACT EMAIL *
Your answer
PRIMARY CONTACT MOBILE *
Your answer
POSTAL ADDRESS *
Your answer
PLAYER EMAIL (School or Private if available)
Your answer
PLAYING HISTORY/ FOOTBALL RESUME (Year/ Age Group/ Division) *
Your answer
Thank you for completing this form.
A copy of your responses will be emailed to the address you provided.
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