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SALISBURY INTERNATIONAL

TRIAL
REGISTRATION
FORM SEASON
SOCCER
CLUB
GIRLS
2017& SENIOR WOMENS SOCCER

Home Grounds: Underdown Park, Nangari Rd & Burton Park Football Centre,
Waterloo Cnr Rd E: salisburyintersc@gmail.com P: 0424 865 433

TRIAL
INFORMATION:
Age Group/Team Trialling For:

Choose an item.

Preferred position 1:

Click here to enter preferred position

Preferred position 2:

Click here to enter preferred position

PLAYERS DETAILS:
Name:

Click here to enter first and last name

Contact Number:

Click here to enter a contact number

Email Address:

Click here to enter email address

Date of Birth:
2016 Club Played For:
2016 Team/Age Group:
(e.g State League, Premier
Reserves, U17s)
FFSA Registration Number:
(If known)

Click here to enter clubs name


Choose an item.

Click here to enter registration number

PARENT/GUARDIAN
INFO:
Name:

Click here to enter first and last name

Contact Number:

Click here to enter a contact number

Email Address:

Click here to enter email address

Please complete this form and send to salisburyintersc@gmail.com or


bring the completed form along with you on the day of the trials

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