Western United FC Powerchair Program Expression of Interest
Western United FC and Powerchair Sports Victoria are excited to launch a new Powerchair Football program in 2021!

Powerchair Football is a modified version of football/soccer for powerchair users. It is played in a gymnasium on a regulation basketball court with a ball that is 1.5x the size of a traditional ball. There are two teams of four players (including the goalkeeper). Players dribble and hit the ball around the court with a specially designed bull-bar that is mounted onto the front of their powerchair. It is a fast-paced, dynamic sport for spectators and players alike.

For new participants - equipment is provided but is limited. Please contact us if you require a powerchair. All equipment and coaching is provided.

For more information about Powerchair Football or to discuss your suitability please contact Luke David on 0424 160 174 or luke.david@psv.org.au

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Players name? *
Gender? *
Players Date of Birth? *
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Preferred contact number? *
Preferred email address? *
What suburb do you live in? *
Player Shirt Size? *
Nature of Impairment/Disability: *
What type of mobility aid do you use: *
Do you require a hoist to be able to transfer into a spare powerchair? *
Please let us know of any other medical information we may need to be aware of:
Do you require any further support to attend a come and try event:
How did you hear about the program? *
Is there any information or questions you would like us to answer in particular?
Are you happy for your photo to be taken on the day? *
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