Player Registration Form

Full Name^*

Email Address^*

Gender^*

Date of Birth^*

Current Age^*

Address^*

FFA Number^*

Current Club^*

Current School

Age Group^*

Player Position^*

Player Mobile Number^*

Current Academy

Medical Conditions^*

Parent Name^*

Mobile Number^*

Sponsorship Interests

I/We hereby read and adhere to the Marconi Code of Conduct.

I/We have read and agree to the attached waiver for my son/daughter to trial at Marconi for the 2020 season.