ECU Joondalup Soccer Club 2022 Registration

We are delighted to open our registration for our trials being held in October 2021.  Please complete the information below.

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* 1. First Name:

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* 2. Surname:

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* 3. Gender:

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* 4. Date of birth:

Date

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* 5. Age:

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* 6. Current Team:

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* 7. Current Position:

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* 8. FFA Number:

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* 9. Which team do you wish to trial for?

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* 10. If Under 18, please provide your Parent Name:

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* 11. Contact Email Address

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* 12. Contact mobile phone number

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