Specialised GOAL KEEPING Pre Season Waverley Academy 2019 Waverley Academy Question Title * 1. Name of player First name Surname Question Title * 2. Gender Female Male Question Title * 3. Date of Birth Date / Time Date Question Title * 4. Parent contact name Question Title * 5. Email address Question Title * 6. Mobile contact number Question Title * 7. 2018 Team (please list age, gender & level eg.. U12 Shield Girls or U12 District Mixed) Age group Girls or Boys or Mixed Level (Shield, Pennant or District or half field) Question Title * 8. Goal keeping experience 3+ years 2 years 1 year New to Goal keeping Question Title * 9. Did you trial for JSC (Hotshots) Yes and made it into team Yes but missed out No did not trial Question Title * 10. Have you played State level in past 12 months Yes No Question Title * 11. Goal Keeping kit Have own kit Have a Waverley kit from 2018 and would like to keep using Have a Waverley kit from 2018 and need a larger size or have items missing / broken Need a kit to be provided by the club Question Title * 12. Please list any medical conditions the coaches need to be aware of Done