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Futsal Nationals State Squad Trial Registration Form
Required Required Question(s)

Please complete all fields before submitting your trial registration form.

All correspondence will take place by email so please double check that your email address details are listed correctly.

You will be emailed a reminder notice one week prior to the trials.

For more information please visit www.capitalfootball.com.au


By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Home Phone:
Email Address:
emailaddress@xyz.com

Required

Please select the squad you wish to trial for. Please remember all players must trial in their own age group.

Under 11 Boys
Under 11 Girls
Under 12 Boys
Under 12 Girls
Under 13 Boys
Under 13 Girls
Under 14 Boys
Under 14 Girls
Under 15 Boys
Under 15 Girls
Under 16 Boys
Under 16 Girls
Youth Men
Youth Women