Expression of Interest - 2023 Representative Player Trials & Coaching Interest

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* 1. Name of Interested party

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* 2. Gender of Applicant

MALE

FEMALE

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* 3. Date of Birth of interested player

Date / Time

Date

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* 4. 2022 ODFA Winter Comp Club Name. (this season)

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* 5. PLAYERS AGE IN YEARS AT 31st DEC 2022

8

9

10

11

12

13

14

15

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* 6. Preferred Field Position (1st Choice)

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* 7. Preferred Field Position (2nd Choice)

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* 8. Parent or Guardians Contact Details

Full Name

Phone Number

Email Address

Home Address

Player's medical conditions that Coach should be aware of (if any)

Player's medical condition management plan (if any)

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* 9. I am (or someone I know is) interested in the Coaches or Managers roles. Coaches will be decided by August 8th, so please respond as soon as you can.

Yes

No

Interested persons Name, Contact details & Age Group interested in: