Talent Support Program Trials Player DetailsPlayer Full Name* First Middle Last Player Date of Birth* DD slash MM slash YYYY FFA Number*Club Name*Registration Type*Football West NPL JuniorsFootball West JuniorsOtherBest Contact Number*Best Contact Email* Enter Email Confirm Email Player Address* Street Address City State / Province / Region ZIP / Postal Code Are you of Aboriginal or Torres Strait Islander origin?* No Yes, Aboriginal Yes, Torres Strait Islander Yes, both Aboriginal and Torres Strait Islander Emergency ContactEmergency Contact Name* First Last Emergency Contact Relationship*Emergency Contact Number*Medical & Dietary InformationDo you suffer from any of the following:* Respiratory Problems Diabetes Headaches/Migraines Skin Problem High/Low Blood Pressure Epilepsy Ear/Eye problems Emotional Illness Asthma/Bronchitis Allergies Digestive Disorder Other Not Applicable If yes to any of the above, please provide details below:Playing KitKit Sizes (please see link below for size guide)* Shirt Shorts Socks Besteam Size GuideAdditional InformationPreferred Playing Position*GoalkeeperDefenderMidfielderAttackerDo you have any other sporting commitments for the rest of the year? Please outline days/times below:Do you participate in any other clubs/activities?Please provide any other information you feel will be of assistance:Code of ConductPlayer Code of Conduct*This code of conduct shall apply to all athletes representing Football West. Any breach shall be subject to disciplinary action by Football West with possible exclusion from the program. – I will not engage in the use of crude, foul or abusive language that may be determined offensive or engage in any conduct detrimental to the image of the game when on or off the field. – I will refrain from arguing with the coaches or other players regarding decisions they make. – I will treat participants, officials and spectators with respect. – I will train and play by the laws of the game. – I will not use any banned substance or drugs of dependence. – I will not engage in betting or gambling on the results, outcome, or any related aspects of football games – I will display good sportsmanship at all times. I have read the above Players Code of Conduct and agree to comply with its directions. I agree to the Football West Code of ConductPlayer Name for Acknowledgment of Code of Conduct First Last