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Expression of Interest - 2023 Representative Player Trials & Coaching Interest
1.
Name of Interested party
2.
Gender of Applicant
MALE
FEMALE
3.
Date of Birth of interested player
Date / Time
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
4.
2022 ODFA Winter Comp Club Name. (this season)
I DID NOT PLAY FOR A CLUB IN THE ODFA WINTER COMPETITION
Barnstoneworth FC
Blayney Jnrs
Canobolas Rangers
Cudal
CYMS Juniors
Ex-Services
Kinross
Millthorpe Juniors
Molong
OAGS
Waratah Juniors
Other - Western FC
Other (please specify)
5.
PLAYERS AGE IN YEARS AT 31st DEC 2022
8
9
10
11
12
13
14
15
6.
Preferred Field Position (1st Choice)
7.
Preferred Field Position (2nd Choice)
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)
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:
Current Progress,
0 of 9 answered
