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Junior Member - Walkout Registration Expression of Interest

The Central Coast Mariners are offering Junior Members the opportunity to participate as a walk-out mascot for the Hyundai A-League 2019/20 Season. Please submit your registration of interest below. All details must be completed in order to submit a valid entry. 
1.Please complete the following details of the Junior Member looking to apply
2.Please enter your Member Number
3.Which Junior Membership type do you hold?
4.Preferred Shirt Size
5.Accompanying Parent Name & Phone Number
6.By completing this form, I agree that I understand the Terms & Conditions surrounding this promotion. Junior Members are selected at random 2 weeks prior to the match, and have 5 days to confirm their attendance. Should they not confirm via E-Mail or SMS, their position will be made available to the next selected Junior Member. I can confirm the contact information that I have provided is correct.(Required.)
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