A.P.I.A.

Leichhardt Tigers Football Club

TRIALS
Season 2016

Player Name: ____________________________________________________________

Date of Birth (xx/xx/xx): ___________________ Age Group Trialling: ________
Preferred Position: ________________________________________________________
Parent(s) Name: ________________________________________________________
Address: _________________________________________________________________
___________________________________________________________________________
Primary Contact Phone/ Mobile number: __________________________________________
Email address : _____________________________________________________________________
Previous Club/s Season 2014 and 2015: ___________________________________
__________________________________________________________________________
School: ___________________________________________________________________

On behalf of APIA Board of Management we thank you for choosing APIA as your preferred Club for
trials and representing our high profile Club in Season 2016.