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* 1. Name

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* 2. Email

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* 3. Mobile

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* 4. Date of Birth

Date

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* 6. What Affiliate did you play for at 2019 QLD State Cup?

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* 7. What division did you play in at the 2019 QLD State Cup?

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* 10. Please detail your Elite Touch Football activity over the past two (2) years

The State of Origin selection policies pertaining to the 2020 State of Origin are available to view on the Queensland Touch website www.qldtouch.com.au in the Tournament tab in State of Origin Documents & Policies information.

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