Waverley Academy

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* 1. Name of player

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* 2. Gender

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* 3. Date of Birth

Date / Time

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* 4. Parent contact name

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* 5. Email address

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* 6. Mobile contact number

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* 7. 2018 Team (please list age, gender & level eg.. U12 Shield Girls or U12 District Mixed)

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* 8. Are you a goal keeper? (multiple responses ok) 

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* 9. Did you trial for JSC (Hotshots)

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* 10. Have you played State level in past 12 months 

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* 11. Please list any medical conditions the coaches need to be aware of

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