PIC Application | Mount Pleasant

Player Identification Combine

#idNumber

Please complete all fields labelled with an asterisk (*)

Personal Details

First Name

Last Name

Email Address

Phone Number

Date of Birth

Preferred Positions*

Please select at least 3 choices

Goal KeeperDefenderMid-FielderForward

Gender

Male

Female

Prefer not to say

Address Line 1

Address Line 2

Parent/Guardian Information

Name of Parent/Guardian

Phone Number

Email Address

I agree to assume all risks and expenses due to an injury that may occur as a result of my involvement in the GNFC Player Identification Combine and /or travel to and from said event.

I agree to hold the Generation Next FC or anyone acting on its behalf either as a coach, a coaching assistant or administrator harmless in the event of an injury while participating in this Combine.

I agree

Please ensure all required fields are complete