Player's Full Name*

Player's Date of Birth*

Player's Contact Phone Number*

Parent's contact phone number (if you are under 18)

Player's Email Address*

Parent’s email address (if you are under 18) Max 255 characters

Which team will you be trialling for? Please select the highest division you wish to trial for only.*

Are you a current HVC State League Player?* Please select... Yes No

If you answered YES to the above question, what team did you belong to in 2026?

Are you currently playing for another club? If so, which one?

Are you prepared to train at different venues (PEGS, CLC, PRACE, LaTrobe Stadium, PRACE, Darebin or Narrandjeri Sports Stadiums)* Please select... Yes No

What size t-shirt are you? (these are adult sizes)*

Do you have any medical conditions we should know about? Max 255 characters

Athlete Head Shot Photo*