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1. First name

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2. Last name

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3. Date of birth

Date

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4. What team are you looking to join in 2025

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5. Favoured positions

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6. Preferred foot

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7. Are you currently playing at Blacktown Spartans?

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8. What is your current 2024 team?

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9. Who did you play for in 2023?

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10. Club of origin (Junior club, played at from U5-U12)

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11. Which suburb do you live in?

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12. Contact Number

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13. Email Address

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14. Please provide a link to any video highlights you may have that support your application (if you have no link please write 'not applicable' in the comment box.

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