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AQ Astros U16
Expression Of Interest
A new team for girls from Thurrock and the surrounding areas
For more information contact aqbasket@gmail.com
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Email
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Athlete Name
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Athlete D.O.B (DD/MM/YYYY)
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Athlete Height (In centimeters)
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Does the participant have any health conditions or disabilities
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Yes
No
If yes please detail below
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Athlete T-Shirt Size
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M
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Athlete School
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Parent/Guardian Name
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Parent/Guardian Contact Number
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Emergency Contact Number
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I the Parent/Guardian give permission for photos or video to be taken during sessions, which may be used in promotional materials
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