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1. Default Section

* 1. Players Name

* 2. Address

* 3. Telephone Number(S)

* 4. Players Date of Birth

* 5. Players age on 1st September 2014

* 6. If Under 18 on 01/09/2014, please enter Parents e-mail address
If 18 or over on 01/09/2014, please enter your e-mail address

7. Any relevant medical information we should be aware of

* 8. Current Club or Last Club

* 9. Prefered Playing Position : Please tick box

10. Which of the following teams, do you wish to be considered to trial for ?

11. To help our with our communication in future years, from which medium were you made aware of our trials ?

12. Date :

DD/MM/YYYY
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