Pro Football Tryout & Assessment
Step 1 of 2: Submit
Name of Participant:
*
Name of Parent (if under 18yrs old):
Date of Birth
*
Age Group
*
Select an option:
10 - 12 years old
12 - 14 years old
15 - 17 years old
18 - 25 years old
Gender:
*
Male
Female
Position that you play in:
Club or Academy that you are currently playing with?
T-shirt size
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Any Medical Illness?
*
No
Yes
If yes, please state the illness:
Email:
*
Telephone Number:
*
Payment:
Bank Transfer
Cash
Check
Comment:
By submitting this form, you agree to indemnify and to hold harmless Footy Promotions, its members, coaches, officers or designates from any kind of claim whatsoever. You also agree to our
Terms and Conditions.
.
*
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