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Central Coast Touch Junior Rep Trial Absence/Injury
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* Indicates required question
Players Name
*
Your answer
Players DOB
*
MM
/
DD
/
YYYY
Team Requesting Selection
*
10 Girls
10 Boys
12 Girls
12 Boys
14 Girls
14 Boys
16 Girls
16 Boys
Reason for Missing the Trial
*
Your answer
2023 Local Competition Team Name
*
Your answer
Playing Experience
*
Your answer
Last Junior State Cup Played
*
2023
2022 ( Cancelled Event )
2021
NA or played 2020 or before
Last Junior State Cup Club
*
Your answer
Parents Name
*
Your answer
Parents Email
*
Your answer
Parents Mobile
*
Your answer
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