Register for State Titles

Please register your interest for our 2021 State Titles & SEQ FPL Trials.
Trials will be held at Albany Creek State High School,
corner of Old Northern Road and Albany Forest Drive.
The competition will be played in the venues around the South Brisbane metro region

* Indicates required field

Players Name *

First

Last

Date of Birth *

Age Group *

Phone Number *

Email *

FA Number (if known, if not this can be advised at a later date) *

Preferred Position *

Court Player Goal Keeper Court Player &/or Goal Keeper

Are you trialling to play in *

FQ Futsal State Titles SEQ Futsal Premier League Both State Titles & SEQ FPL

Submit