By completing this form, you are registering to trial for the U16 & U18 Teams competing at the National Youth Championships.

This form will take approximately 10 minutes to complete. This form must be completed in one attempt - it cannot be saved or completed later - so please ensure you have all infomation available before commencing the form.

Thank you for your interest and good luck for the trials.

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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. Email Address (Required.)

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8. Mobile Number (Required.)

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9. Height (CM) (Required.)

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10. Weight (KG) (Required.)

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11. Guardian 1 Name

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12. Guardian 1 Email Address

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13. Guardian 1 Contact Number

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14. Guardian 2 Name

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15. Guardian 2 Email Address

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16. Guardian 2 Contact Number

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17. U18 or U16

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18. Bat (Required.)

  Bat
Left
Right
Switch

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19. Throw (Required.)

  Throw
Left
Right

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20. First Preferred Playing Position (Required.)

  First Preferred
Pitcher
Catcher
First Base
Middle Infield
Third Base
Outfield

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21. Second Preferred Playing Position (Required.)

  Second Preferred
Pitcher
Catcher
First Base
Middle Infield
Third Base
Outfield

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22. Current Summer Club (Required.)

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23. Current Winter Club (Required.)

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

Thank you for registering for the U16 & U18 State Trials

Please contact Sam Creed on (03) 9645 8000 or samantha.creed@baseballvictoria.com.au if you have any questions.

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