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*
Date Format: DD slash MM slash YYYY
Second child's full name
Second child's date of birth
Date Format: DD slash MM slash YYYY
Third child's full name
Third child's date of birth
Date Format: DD slash MM slash YYYY
Fourth child's full name
Fourth child's date of birth
Date Format: DD slash MM slash YYYY
Is participant a goalkeeper?
- Yes - one
- Yes - two or more
- No