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West Harbour Juniors State Championships 2021
Expression of Interest - Player Registration
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NAME
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DATE OF BIRTH
MM
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DD
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YYYY
CURRENT SCHOOL (if applicable)
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BEST CONTACT NUMBER
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PARENT OR GUARDIAN EMAIL ADDRESS
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ARE YOU REGISTERED WITH A JUNIOR OR SENIOR CLUB IN 2021?
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IF YOU ANSWERED YES TO THE PREVIOUS QUESTION PLEASE STATE WHICH CLUB.
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PREFERRED POSITION/S
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EXPRESSION OF INTEREST TO PARTICIPATE - AGE GROUP IN 2021
U10s BOYS
U11s BOYS
U12s BOYS
U13s BOYS
U15s BOYS
U16s BOYS
u18s BOYS
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