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

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* 2. Surname

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

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* 4. Home Address

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* 5. Suburb

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* 6. Post Code

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* 7. Email Address

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* 8. Mobile Number

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* 9. Height (CM)

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* 10. Weight (KG)

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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

  Bat
Left
Right
Switch

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* 19. Throw

  Throw
Left
Right

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* 20. First Preferred Playing Position

  First Preferred
Pitcher
Catcher
First Base
Middle Infield
Third Base
Outfield

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* 21. Second Preferred Playing Position

  Second Preferred
Pitcher
Catcher
First Base
Middle Infield
Third Base
Outfield

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* 22. Current Summer Club

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* 23. Current Winter Club

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

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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