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2019 Victorian Under 18 Boys and Girls State Team - Player Application Form
Applications are now being called for players to trial for the U18 Girls and Boys State Teams which will compete in the U18 National Championships in Perth in April 2019 (Actual dates TBC)

To be eligible for selection players must be Under 18 on 1 January 2019 and be a current registered and financial member of a Lacrosse Victoria Club and will required to register with their nominated club for the 2019 season. Also players under the ALA minimum recommended age of 15 years as at 1/1/2019, will be required to complete a waiver form prior to the trials. Players in this category will be contacted by Lacrosse Victoria following their application.

All players wishing to trial must apply online via this form, by the closing date for applications of Friday 19th October 2019.

There is a $50 application fee for all players who wish to trial for an Under 18 State Team This payment can be made to Lacrosse Victoria via Electronic Funds Transfer to the following account with the reference, "U18 Trial and your surname", along with confirmation of the payment to finance@lacrossevictoria.com.au.
Lacrosse Victoria
BSB: 063 002
Account Number: 0080 1964

Please check the account you are making the payment to, as Lacrosse Victoria has 2 different accounts.
Players who do not apply online and/or pay the $50 trial fee before the closing date for applications will not be eligible to trial

Full details of the trials will be advised to all applicants

Communication from Lacrosse Victoria will be email to the nominated email address, which applicants will be expected to check regularly

The costs for this tournament are not yet final, but based on previous years estimated to be around $1600 plus uniform, which can be from $20- $400 depending on items purchased.

Full payment will be required before the tournament commences with the 1st instalment ($500) due 7 days after notification of selection.

Email address *
First Name *
Your answer
Surname *
Your answer
Team *
Date of Birth *
Your answer
Phone Number *
Your answer
Address *
Your answer
Suburb *
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Post Code *
Your answer
School *
Your answer
Club *
*
Playing Position *
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Private Health Cover *
Parent / Guardian 1 Name *
Your answer
Parent / Guardian 1 Phone *
Your answer
Parent / Guardian 1 Email *
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Parent / Guardian 2 Name
Your answer
Parent / Guardian 2 Phone
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Parent / Guardian 2 Email
Your answer
Bank Account Details for Refund of Unspent Funds (within 90 days of the event *
Your answer
Bank Name and BSB *
Your answer
Account Number *
Your answer
*
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A copy of your responses will be emailed to the address you provided.
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