These 3 questions MUST be answered YES in order for your club to be considered.

1. I am a representative of the junior football club and I am authorised to submit this entry

2. Our junior football club has obtained the consent of all individuals (or their legal guardians) to submit any personal information and/or images to Hyundai, and agree that I have read Hyundai Motor Company Australia's Privacy Policy

3. I have read and accepted the full terms and conditions of the Goals for Grassroots promotion.

Junior Club Details

Your Club Name

Suburb/Location
Club Website
Postcode
Facebook
Contact Person
Number of Teams (Under 18)
Phone Number
Number of Players (Under 18)
Contact Email
Affiliated Association

Hyundai A-League Club

Which of the following is your local Hyundai A-League Club?

Please tell us why your club should be selected as a Goals for Grassroots recipient. (max. 300 words)

Club Highlights: Every junior club is special so tell us what makes your club unique. Be sure to include anything else you think will get your junior club application noticed and potentially shown on TV (eg.: any special programs, young players with exceptional talents or stories that are not football related). (max. 300 words)

Please indicate how your club would spend any funds received from Hyundai Goals for Grassroots. (max. 300 words)

NOTE: Please feel free to submit any supporting photos, videos or additional documents as attachments. (max. file size 10mb)

For any further assistance contact: G4GR@HyundaiHelpForKids.com.au