HDLAC Triallist Details Form
Trial registration is required to cover your athlete for insurance in case of injury as outlined in the policy available at https://lansw.com.au/insurance/. 

A HDLAC uniform is not required, but please wear suitable sporting clothing, sports shoes, hat, sunblock, drink bottle and a small snack for younger children).

Results, Awards and Centre Records are not applicable whilst trialling.
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Triallist First Name
Triallist Last Name
Triallist Date of Birth
MM
/
DD
/
YYYY
Triallist Gender
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Primary Contact - First Name
Primary Contact Last Name
Primary Contact Mobile Number
Primary Contact Email Address
Secondary Contact First Name
Secondary Contact Last Name
Secondary Contact Mobile Number
Secondary Contact Email Address
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