U15 B - Representative Trial Expression of Interest - State Championships - TBHA
Championships will be held in Warwick 22nd - 25 September 2019
TrIals will be held Sunday 28th July -9.00 - 1030 AM at TBHC
First Name *
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Last Name *
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Date of Birth *
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Email Address *
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Mobile Phone Number *
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Emergency Contact *
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Emergency Contact Mobile Number *
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Hockey Club *
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Preferred Position 1 *
Your answer
Preferred Position 2 *
Your answer
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