Player Details
First Name
Last Name
Sex:
Male
Female
Date of Birth
Phone:
Mobile:
Email Adress
Address
Suburb
Post Code
Parent/Guardian Name
Parent/Guardian Mobile
Parent/Guardian Email Address
Are you a Mingara Club Member ?
Yes
No
Membership No
Player History
Current Club
Grade/Team Played in
2011
Positions Played
1.
NA
Goal Keeper
Centre Forward
Centre Half
Left Inner
Right Inner
Left Wing
Right Wing
Left Half
Right Half
Full Back
2.
NA
Goal Keeper
Centre Forward
Centre Half
Left Inner
Right Inner
Left Wing
Right Wing
Left Half
Right Half
Full Back
Player Rep History
Rep Team Information
Preferred Positions
1.
NA
Goal Keeper
Centre Forward
Centre Half
Left Inner
Right Inner
Left Wing
Right Wing
Left Half
Right Half
Full Back
2.
NA
Goal Keeper
Centre Forward
Centre Half
Left Inner
Right Inner
Left Wing
Right Wing
Left Half
Right Half
Full Back
3.
NA
Goal Keeper
Centre Forward
Centre Half
Left Inner
Right Inner
Left Wing
Right Wing
Left Half
Right Half
Full Back
Select Team(s) you are trying out for.
Admin only information