run
football

Expression of interest for USA tour


Student Personal Details

Title: Family Name:
Given Name: Other Given Name:
Preferred Name:
Address:
  Postalcode:
Phone: (Home) (Mobile)
Email (Parent):
Date of Birth:
Which school are you currently attending:
Current Year Level:
Were you Australia Citizen ?
If No, please specify which Nationality

Family Details

Father / Guardian

Title: Family Name:
Given Name: Other Given Name:
Occupation: Guardian's Relation:
Postal Address:
  Postalcode:
Phone: (Home) (Mobile)
Email (Parent):

Mother / Guardian

Title: Family Name:
Given Name: Other Given Name:
Occupation: Guardian's Relation:
Postal Address:
  Postalcode:
Phone: (Home) (Mobile)
Email (Parent):

Educational Details

What is your highest completed school level?
What year did you completed that school level?
Have you received any Vocational Training?  
(If yes, please list details)

Sports Details

What sport do you play?
Which Club are you playing for (if any)?
Which level and competition is your Club competing in?
Describe your involvement in sport including any events, coaching, referee, and team management?