Copy of 2018 GWG GDFLN Netball Trial Registrations

Please complete by Midnight Sunday 21st January 2018

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* 1. Address

Name

Address

Address 2

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Playing Position 1

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* 3. Playing Position 2

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* 4. Playing Position 3

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* 5. Grade/s trailing for:

Other (please specify)

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* 6. Grade Played in 2017 or when last played:

A

A/B

B

B/C

C

C/D

Other (please specify)

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* 7. League last played?

Other (please specify)