Football4All Gala Day Registration Form

Football4All Gala Day

For participants living with a disability who have played football before or would like to try football for the first time.
Date: Monday 6th July 2026

Location: Lake Macquarie Regional Football Facility- Speers Point

Time: 9-3pm (TBC depending on interest)

Registration closes 5pm Monday 22nd of June
Name

First NameLast Name
Email
example@example.com
Phone Number
Parent / Guardian / Carer Full Name:
Parent / Guardian / Carer Contact (Mobile):
Date of Birth

MonthDayYear
Date
Gender
Do you have a disability?
If other, please describe:
Do you use a wheelchair for daily mobility? *Unfortunately wheelchairs will not be able to be used in play.
Do you use any other sporting or mobility aids?

Other
What sports are you currently involved in?
What sports have you previously participated in?
Have you previously been classified?
Please list any disability, disability sport organisations or sport organisations that you are a member of:
Please list any other additional support that you may require to confidently participate in this event:
Do you already play football with a local club?
Have you participated in a NNSWF event before (Come & Try/Talent ID, Para Nationals, etc.)?
How did you hear about this event?

Other

Player$20.00 AUD

Total $0.00 AUD