MUVT 2018 Trial Registration
First Name *
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Last Name *
Your answer
Division *
Date of Birth *
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Phone Number *
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Email Address *
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Address *
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Emergency/Parent Contact Name *
Your answer
Emergency/Parent Contact Phone Number *
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Emergency/Parent Contact Email Address
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Playing Preference (not required)
(You may choose to nominate a preference of Blues or Blacks. Please note this is a preference only and head coaches will ultimately determine best fit for both player and club)
Do you have a playing uniform? *
If you have a playing uniform, what is your playing number?
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Student Status *
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