*1.Full name(Required.)

*2.Email address - so that we can send you more details regarding expected cost, commitment requirement, trials, etc (in providing this, you consent to receiving correspondence containing further details about the competition)(Required.)

*3.I am available from 27 September-03 October this year and would like to express my interest in representing ANU for Women’s Football at UniGames Nationals in the Gold Coast(Required.)

Yes

No

4.Any details about your playing history - current club, position/s, years played for, other that you find relevant

*5.ANU student ID number (U number) - confirming you are a student who is enrolled at ANU(Required.)

6.Questions?