2022 Pirates Development Trial Form
Register for the football trial below
Player Name
*
First Name
Last Name
Date of Birth
/
Day
/
Month
Year
Date
Player E-mail
Player Mobile
-
Area Code
Mobile Number
Player Age Group
*
Please Select
Under 7
Under 8
Under 9
Under 10
Under 11
Under 12
Under 13
Under 14
Preferred Position
*
Goalkeeper
Fullback
Midfield
Forward
FFA Number
*
Football Identification number
Club Played 2021
*
Previous Club
Division in 2021
*
Level played
Club Played 2020
*
Previous Club
Suburb you live*
*
Name of School
*
Parent Name
*
First Name
Last Name
Parent E-mail
*
example@example.com
Parent Mobile
*
-
Area Code
Mobile Number
Comments
Any additional information about your child.
Submit
Should be Empty: