Goldfields Training Centre Expression of Interest

Expressions of Interest for parents to register their children in Football West's Goldfields Training Centre in Term 4, 2019.

Step 1 of 2

Parent/Guardian's first name*
Parent/Guardian's surname*
Number of children expressing interest*
Child's full name*
Child's date of birth*
DD slash MM slash YYYY
Second child's full name
Second child's date of birth
DD slash MM slash YYYY
Third child's full name
Third child's date of birth
DD slash MM slash YYYY
Fourth child's full name
Fourth child's date of birth
DD slash MM slash YYYY
Is participant a goalkeeper?
- Yes - one
- Yes - two or more
- No