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1. First Name (Required.)

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2. Surname (Required.)

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3. Date of Birth (DD/MM/YEAR) (Required.)

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4. Home Address (Required.)

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5. Suburb (Required.)

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6. Post Code (Required.)

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7. Current Summer Club (Required.)

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8. Current Winter Club (Required.)

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9. Guardian One Name (Required.)

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10. Guardian One Mobile Number (Required.)

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11. Guardian One Email (Required.)

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12. Guardian Two Name (Required.)

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13. Guardian Two Mobile Number (Required.)

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14. Guardian Two Email (Required.)

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15. Do you agree with the terms and conditions to pay the cost within the specific time? (Required.)

Thank you for registering for the 2014 Junior Girls Friendship Series

More details regarding this program to follow shortly.

Please contact Ashley Blair on (03) 9645 8000 or ashley.blair@baseballvictoria.com.au if you have any questions in the meantime.

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