Expression of Interest - 2022 Representative Player Trials

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* 1. Name of Interested Player

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* 2. Gender of Player

MALE

FEMALE

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* 3. Date of Birth of interested player

Date / Time

Date

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* 4. 2021 ODFA Winter Comp Club Name. (last season)

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* 5. Which Club are you intending to join to play 2022 Winter Football

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* 6. Preferred Field Position (1st Choice)

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* 7. Preferred Field Position (2nd Choice)

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* 8. Parent or Guardians Contact Details

Full Name

Phone Number

Email Address

Home Address

Player's medical conditions that Coach should be aware of (if any)

Player's medical condition management plan (if any)

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* 9. I am (or someone I know is) interested in helping out with one of the teams who currently do not have enough Coaches or Managers (U10s, U11s & U12s)

Yes

No

Interested persons Name & Age Group interested in: