Eastern Suburbs FC - Boys Youth Divisional Teams - Expression of Interest
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EASTERN SUBURBS FC EXPRESSIONS OF INTEREST - Boys Divisional Teams
Boys U15 FQ Metro Team

Eastern Suburbs FC have vacancies in the following teams for the 2021 season.

Boys Under 15 Divisional (Players Born 2007) - Expression of Interest

For any additional information please direct all enquiries to juniors@eastsfootball.com 

Player Details
Players First Name *
Players Surname *
Date of Birth *
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/
DD
/
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Do you have an FFA Player Registration Number? *
Football Federation Australia registration number if applicable
What is your FFA Registration Number?
Football Federation Australia registration number if applicable
Please confirm the group you wish to be considered for *
Boys Divisional Teams competing in Football Brisbane Leagues
Last Club played at in 2020 *
If not applicable type NA
Competition and Division Played *
Eg: Sunshine Coast Under 15 Division 1
Preferred Playing Position
Please indicate where the player prefers to play
Contact Information
Please provide two contacts for the player nominated.
Primary Contact - Parent/Guardian Name *
Please provide parent/guardians details as the player is Under 18 years of age.
Secondary Contact - Parent/Guardian Name *
Please provide parent/guardians details as the player is Under 18 years of age.
Primary Contact - Phone Number *
This is the emergency contact number that will be used during the trial period.
Secondary Contact - Phone Number *
This is the emergency contact number that will be used during the trial period if the Primary Contact cannot be reached
Primary Contact - eMail address *
Please provide a valid email address.
Secondary Contact - eMail address *
Please provide a valid email address.
Any medical condition that we need to be aware of? *
Please make us aware of any allergies, illness or injuries...
Parent/Guardian Authorisation
Check this box if you DO NOT permit Eastern Suburbs FC to utilise photos and videos taken of your daughter at the trials sessions for marketing purposes.
EASTERN SUBURBS FC - Heath Park, 48 Hilton Street, East Brisbane Qld 4169
A copy of your responses will be emailed to the address you provided.
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