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* 1. Full Name

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* 4. Mobile Contact Number

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* 5. Email Address

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* 6. Did you Coach/Manage at the 2021 NSW Junior State Cup? If Yes, which Association & Team?

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* 7. Have you Coached/Managed any other teams (previous experience)

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* 8. Uniform Size

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* 9. Are you available to attend trials? Date TBC

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* 10. Please list your WWC number

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