2014 Under 25 Program

By completing this form, you are registering to trial for the Under 25 Program

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. Bat

	Bat
Left	Left Bat
Right	Right Bat
Switch	Switch Bat

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* 12. Throw

	Throw
Left	Left Throw
Right	Right Throw

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* 13. First Preferred Playing Position

	First Preferred
Pitcher	Pitcher First Preferred
Catcher	Catcher First Preferred
First Base	First Base First Preferred
Middle Infield	Middle Infield First Preferred
Third Base	Third Base First Preferred
Outfield	Outfield First Preferred

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* 14. Second Preferred Playing Position

	Second Preferred
Pitcher	Pitcher Second Preferred
Catcher	Catcher Second Preferred
First Base	First Base Second Preferred
Middle Infield	Middle Infield Second Preferred
Third Base	Third Base Second Preferred
Outfield	Outfield Second Preferred

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* 15. Current Summer Club

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* 16. Current Winter Club

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

Yes

Thank you for registering for the U25 Program.

Please contact Ashley Blair on (03) 9645 8000 or ashley.blair@baseballvictoria.com.au if you have any questions.