GBU20 Open Application 2018
Application for the WJUC 2018 Team in Waterloo, Canada
Player Name *
Your answer
Date of Birth *
Please enter in format DD/MM/YYYY
Your answer
Player Email Address *
Your answer
Player Contact Number *
Your answer
Home Address *
Your answer
Relevant Medical Information *
Your answer
Dietary Requirements *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Mobile Number *
Your answer
Emergency Contact's Relationship to Player *
Your answer
Player Experience *
What team(s) have you played for? *
Your answer
UKU Username *
Please note that at minimum a basic UKU membership is required in order for you to participate in trials and this will be checked.
Your answer
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