Register for Girls' FREE Come & Try
Use this form to provide your contact details so we can update you with any news or changes to the program.

NOTE: This *isn't* the Expression of Interest form for a spot in a team for Glen Eira FC. To apply to get a spot in a Glen Eira team, go to https://goo.gl/forms/oCGyRb0Ak7WXrmdJ2
Information about the Player
Player's First Name *
What the player is usually called by team mates (legal first name not required here).
Your answer
Player's Last Name *
Your answer
What year was the player born? *
Your answer
Information about the Parent
Parent First Name *
For players up to 16yo, this means the parent/guardian's name. For others, please enter the player's name again.
Your answer
Parent Last Name *
Your answer
Email *
Program updates will be sent to this email address. No typos please.
Your answer
Secondary Email
Enter a different email to minimise missed communications.
Your answer
Mobile Number *
Formatted like: 04xx xxx xxx
Your answer
How did you find out about Glen Eira FC
Tick all that apply
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