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University of Galway Ladies Gaelic Football 2022/2023
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Forename
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Surname
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Gender
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Choose
F
Date of Birth
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MM
/
DD
/
YYYY
Student Number ID
*
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Course Name
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e.g. Commerce
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Course Code
*
e.g GY201
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Academic Credits per Semester
*
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Academic Year
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Playing Football
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Choose Y
Choose
Y
Football Playing Level Grade
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Fresher
Senior
Email Address
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Contact Number
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Address
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Town
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Home County
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Home Club
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Favored Position
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County Minor Panelist this or last year?
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Y
N
County U-20 Panelist this or last year
Y
N
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County Senior Panelist this or last year?
Y
N
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Currently Injured/ Unable to play
Please write short status on injury and return to play date/ involved with other team
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Competitions you are still playing in?
Please note competitions/ fixtures you are still playing in this year
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Any other relevant information
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