Victoria University WRFL Netball Competition - Participant Expression of Interest Form

First Name *

Surname *

Address *

Address 2

City/Town *

State *

Postal Code

Email Address *

Phone Number *

Date of Birth

Date

Albion

Braybrook

Glen Orden

Manor Lakes

Newport Power

North Footscray

Point Cook

Point Cook Centrals

Spotswood

Sunshine

Unknown – WRFL to choose a club for me

Yes