Bayside United: Expression of Interest
2024: FQ Juniors, FQPL3
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2023 Age Group *
Player First Name *
Player Surname
Date of Birth *
MM
/
DD
/
YYYY
Parent/Guardian Name (if under 18)
Mobile Number *
Email *
Preferred Playing Position *
Secondary Playing Position *
2023 Club *
(If none, insert N/A)
2023 Team/Division *
(e.g. NPL, FQ Academy, Kangaroos/Koalas, etc)
Any additional information
Submit
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