Trial Registration Form Player Surname* Player First Name* Parent Phone Number* Email Address* Age Group/League*Select Your Age Group/League67891011121314151618State 18State ReservesState 1st TeamAmateursSocialMastersWomens* Please note, Football West age groups are based on a calendar year of birth (e.g 2010 born will trial for U12’s, 2009 born will trial for U13s for the 2022 season, etc).Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Preferred Position* Previous Club & Grade* Gender* Male Female