AFL Wheelchair Community League Expression of Interest
Robert  Rose Victorian Wheelchair Community Football League Expression of Interest

Please submit this document if you would like to participate in the AFL Wheelchair Community League. AFL Victoria will get in touch with you ASAP.

For any questions please contact Steve.Odgers@afl.com.au
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Name *
E-Mail Address *
Contact Number *
What date would you like to participate in the VWFL Community League? *
Required
Have you played Wheelchair Sport before? If yes, what Sport (outline in Other)? *
Do you have a sports wheelchair to participate in AFL Wheelchair? *
Please outline any relevant Disability you may have, if you feel comfortable?
Date of Birth? *
MM
/
DD
/
YYYY
Which Suburb do you reside in? *
Any other relevant information you would like to outline
How did you hear about AFL Wheelchair *
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