Northern Stars Junior Squad - 2016 Mixed 18s Expression of Interest

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If you are interested in being considered for the Northern Stars Mixed 18s development squad for 2016, please provide us with the details below.

First Name *

Last Name *

Gender *

Male

Female

Date of Birth *

Tournament Rules: The age criteria will be that you must be 15-17 as of the 31/12/16. Anyone younger that this should seek exemption before they are allowed to play.

YYYY

Player's contact email address *

(If not applicable please enter N/A)

Player's contact phone number *

(If not applicable please enter N/A, please leave space after first 5 numbers)

Are you an England Touch member? *

If you are not already a member, you need to have a current individual player membership: http://www.insure4sport.co.uk/eta/individuals.aspx

Yes

What is your ETA membership number? *

Put 'TBC' if you are in the process of obtaining membership

Which of the following applies to the player? *

British Citizen (passport)

British Citizen (birth but no passport)

Residency (2 years) with ancestry visa

Residency (3 years) with valid visa

Other:

Please provide details of Touch club and other playing/sport experience *

Submit

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