Name of player 

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* 1. Name of player 

Name of parent (If player is Under 18)

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

At what email address would you like to be contacted?

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

Phone Number

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* 4. Phone Number

Age group 

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* 5. Age group 

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

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

Preferred playing position (e.g. Defender)

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

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

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

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