* 1. Name of player 

* 2. Name of parent (If player is Under 18)

* 3. At what email address would you like to be contacted?

* 4. Phone Number

* 5. Age group 

* 6. Current club and team (e.g. Mitchelton, Under 12)

* 7. Preferred playing position (e.g. Defender)

* 8. Please feel free to add any other information you would like.

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