If you were not registered to a Football Australia affiliated club last year, you must complete this form before trialling with a club to ensure the club is insured if you suffer an injury. Name* First Last FFA Number if Known Email* MobileZone*ZoneBrisbaneCentral QueenslandFar North QueenslandGold CoastClub You Intend to Trial With* Club Email* HiddenPhoneHiddenSubject HiddenDetails Δ