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2024 Trial Registrations - Click here to register

2024 Trial Registration Form

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2024 Trial Registration Form

2024 Trial Registration Formdiskmanadmin2023-10-02T13:38:32+11:00

Choose which trial you're registering for

2024 Trials(Required)

NPL Trial

Community Trial

MiniRoos Come Try

Senior Men

Senior Women

Reserves Men

NPL Trial Age Group(Required)

U14

U15

U16

U18

Community Trial Age Group(Required)

U13

U14

U15

U16

U18

Miniroos Come Try Age Group(Required)

U7

U8

U9

U10

U11

U12

Player Details

Please type 'none' if information does not apply.

Player Name(Required)

First Last

Address(Required)

Street Address Suburb State Postcode

Date of birth(Required)

Gender(Required)

Mobile No.(Required)

Home Phone No.

Player Email(Required)

Registered Club in 2023(Required)

FFV Number(Required)

Previous clubs and experience(Required)

Position/s Played(Required)

Medical Details Asthma, Allergies etc…(Required)

Emergency Contact Details

Please type 'none' if information does not apply.

Parent/Guardian 1(Required)

First Last

Address(Required)

Street Address Suburb State Postcode

Mobile No.(Required)

Home Phone No.

Email(Required)

Parent/Guardian 2

First Last

Address

Street Address Suburb State Postcode

Mobile No.

Home Phone No.

Email

Emergency Contact(Required)

First Last

Mobile(Required)

Phone

Email(Required)

CAPTCHA

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