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Player Registration Form: Under 18s Trials 28.10.26

This Player Registration Form is to be completed in order to attend our Under 18s Futsal Trials on Wednesday 28th October, Charles Dickens Centre, 6pm-7pm.

For more information on Portsmouth & Southsea Futsal Club check out our website : https://www.portsmouthfutsal.com

Player Details

*

Player Date of Birth

*

Parent Details

*

Player Futsal Experience

*

A

Never Played Before

B

Played Amateur Level / Youth Level

C

Current or Ex Futsal Player

Where are you based ?

*

A

Portsmouth

B

Southsea

C

Fareham

D

Havant

E

Gosport

F

Chichester

G

Other

Player Preferred Foot

*

A

Right

B

Left

Player Position

*

A

Goalkeeper

B

Outfield

C

Both

Player Medical or Injury Notes

*