Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Preferred playing position?*

Goalkeeper

Striker

Midfield

Defender

Second preferred playing position*

If NOT offered a spot in our HV ACADEMY, would you like to be offered a position in our 2nd tier program (Emerging Talent Academy)*

D.O.B*

ATHLETE contact email*

Emergency Contact Name*

Emergency Contact Number*

Emergency Contact Email*

If you have any medical conditions that we should know about, please list here Max 255 characters

If you have any allergies that we should know about, please list here Max 255 characters

Which team will you be representing in the 2026 JSC?*

Gippsland Bulls

North West Lightning

WestVic Eagles

Central Flames

Eastern Hotshots

North East Red Devils

North West Tigers

Southern Sharks

Western Wildcats

Please note