Metro East State Titles Trial Form

Football NSW State Tiles 2018

Metro - East trials for September (U12 Boys, U12 Girls and U14 Girls)
The Football NSW State Titles are conducted annually for Boys Grades 12 and Girls Grades 12 and 14 and are an essential part of the recognised pathway for State Team selection.

The titles in September are for U12 Boys, U12 Girls and U14 Girls, and will be held from October 1 to 5 at Valentine Sports Park.
Player details
Player's Name *

First Name Last Name
Player's Gender *
Player's Date of Birth *

/ Day / Month Year
Date
Age Group *

U12 Boys (Born in 2006 ONLY) U12 Girls (Born in 2006 ONLY) U14 Girls (Born in 2004 and 2005 ONLY)
Residency information

Address *

Residential address, as registered at Football NSW, has to be in the specified areas (the Canterbury, Eastern Suburbs and St George association zones) and will determine final residency qualification.

Players will be required to provide proof of residency at time of trial.
Parent/Guardian information

Please note: ALL correspondence will be done through email noted below
Parent 1 *

First Name Last Name
Parent 1 Email *

Confirmation Email
Parent 1 Mobile *
Parent 2

First Name Last Name
Parent 2 Email

Confirmation Email
Parent 2 Mobile
Club information
Current Club *
Other Relevant Club Info
FFA Number *
If you don't know your FFA number, you can look it up by clicking here.
Preferred position
Preference 1
Preference 2
Preference 3
Dominant Foot
Health information
Do you have any health conditions we should be aware of? *

Yes No
If yes, please specify, and inform us if you require any form of medication
Enter the message as it's shown *
Should be Empty:

Football NSW State Tiles 2018