WRFL Female Football - Participant Expression of Interest Form

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* 1. Details

First Name *

Surname *

Address *

Address 2

City/Town *

State *

Postal Code

Email Address *

Phone Number *

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* 2. Date of Birth

Date of Birth

Date

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* 3. Have you participated in female football previously, if so what level?

Senior Women's

Youth Girls

Junior Girls (U15 or below)

Auskick

AFL 9s

No - I am new to the game

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* 4. What year did you last participate in football?

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* 5. Below is a list of WRFL member clubs. Please indicate the club(s) you have an interest to join.

Albion FC

Altona FC

Altona Juniors

Caroline Springs FC

Deer Park FC

Flemington Juniors

Glen Orden FC

Laverton Magpies FC

Manor Lakes FC

Melbourne Uni FC

Newport Power FC

North Footscray FC

North Sunshine FC

Point Cook FC

Point Cook Centrals FC

Spotswood FC

St.Albans FC

St.Bernards JFC

Sunshine FC

Tarneit FC

Werribee Centrals JFC

Werribee Districts FC

West Footscray FC

Williamstown Juniors

Wyndham Suns FC

Wyndhamvale FC

Yarraville Seddon Eagles FC

Unknown – WRFL to choose a club for me

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* 6. Do you approve of your contact details being shared with the WRFL club selected above?

Yes