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Player Nomination Form - South West Rep Team 2022/23
Player Nomination Form
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* Indicates required question
Email
*
Your email
Players Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
School Year (September 2022)
*
Your answer
Current JPL Club
*
Your answer
Coaches Name
*
Your answer
Preferred Position/s
*
Your answer
Select Trial Date (please select only ONE)
*
Monday 1st August (Strode College Sports Centre, Street)
Friday 12th August (Lockleaze Sports Centre, Lockleaze, Bristol)
Required
Parent/ Guardian Name
*
Your answer
Mobile/ Emergency Number
*
Your answer
Medical Information/ Allergies
*
Your answer
A copy of your responses will be emailed to the address you provided.
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