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AFL New Zealand Expression of Interest
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* Indicates required question
Participants First Name
*
Your answer
Participants Last Name
*
Your answer
Gender?
*
Male
Female
Email Address
*
Your answer
Phone Number
*
Your answer
Under 18
*
Yes
No
DOB
*
MM
/
DD
/
YYYY
School / Uni
N/A if you do not attend school or a uni
Your answer
Region you live
*
Northland
Auckland - Harbour
Auckland - Waitakere
Auckland - Central
Auckland - Counties
Waikato
Bay of Plenty
Wellington
Canterbury
Dunedin
Other:
Interested in
*
AFL KiwiKick (Age 5 - 12) - After school
AFL KiwiKick (Age 5 - 12) - In School
AFL Cup ( Secondary School Competition)
AFL New Zealand Youth Programme (age 7 - 17)
NZ based club competition (18 plus)
AFL New Zealand Academy (age 12 - 17)
AFLNZ Academy Footy Freezy Weekend, April
New Zealand U15’s Oceania Cup , Decemeber (Suva, Fiji)
New Zealand U17’s Pacific Cup, Novemeber (Sunshine Coast, Australia)
AFL New Zealand Tour Opportunity
AFLNZ Combine Events , throughout the year
AFL New Zealand Premiership (Elite Comp)
Oceania Cup, November ( Seniors)
All Stars
New Zealand Representation
Coaching
Umpiring
Other:
Required
Do you Have New Zealand Heritage?
*
Please select all that apply to you.
Are you born In New Zealand
Are you a New Zealand Citizen
Do you hold a New Zealand Passport
Is your mother born in New Zealand
Is your father born in New Zealand
One Grandparent born in New Zealand
Both Grandparents born in New Zealand
Do you have Maori Heritage
NO New Zealand Heritage
Other:
Required
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