Next Generation Female Registration

For any queries, please email ffcnga@fremantlefc.com.au or phone (08) 9433 7164.

Due to Next Generation Academy participants being under the age of 18 this form must be completed
by a parent or guardian of the individual registering.

Question Title

Please fill out the participants details below:

Legal First Name *

Family Name *

Date of Birth *

Address

Suburb *

City/Town *

State/Province *

ZIP/Postal Code *

Mobile Number *

Email *

Question Title

Participant's place of birth.

Question Title

Is the participant from Aboriginal and/or Torres Strait Islander origin?

Yes

Question Title

Were any of the participant's parents born overseas?

Yes (please specify)

Question Title

Is there a language other than English spoken at the participant's home?

Yes (please specify)

Question Title

Please fill out the below parent/guardian details.

Full Name

Birthplace of participant's father

Birthplace of participant's mother

Email Address

Phone Number

Question Title

Other participant details.

School Name

School Suburb

Question Title

Has the participant registered at any other AFL Club Academy previously?

Question Title

Has the participant registered for any community football club before and if so, what club?

Question Title

Which training hub will you be registering for?

Question Title

Payment Details ($20)

Card Type (Visa or MasterCard)

Card Number

Expiration Date

Card Holder's Name

PRIVACY
All personal information you provide will be used by Fremantle Football Club and the AFL in accordance with the AFL & AFL Clubs' Privacy Policy available at www.fremantlefc.com.au/privacy