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TLFC 2020 Komodo Trials Registration
Event Timing: Mondays, 5:00-6:00pm: 14/10, 21/10 & 28/10.
Event Address: North Lakes State College.
Contact: 0438 880 287
roger.lourenco79@gmail.com
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Email
*
Your email
Players First Name
*
Your answer
Players Surname
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Your answer
Players Date of Birth
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MM
/
DD
/
YYYY
Best Contact Phone Number
*
Your answer
Parent/Guardian Name
*
Your answer
Please specify if the player has a medical condition.
*
Your answer
2019 Club and Grade
What was the club and level played during 2019? (Only U10 &U11 registration to complete)
Example: The Lakes U9 Komodo
Club and Level
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Your answer
Age Group player will be trialling for
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U9 Komodo and Komodo Cross River
U10 Komodo and Komodo Cross River
U11 Komodo and Komodo Cross River
Preferred Position
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Goalkeeper
Defence
Midfield
Striker
Preferred Foot
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Right
Left
Both
Suburb the player will be residing in during 2019
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Your answer
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