Canterbury U21 Trials
Name *
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Email address *
Your answer
Gender *
Date of Birth *
MM
/
DD
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YYYY
Your club and the division you currently play *
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2017 school team, if applicable
Your answer
Region of Origin, if not Canterbury
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2017 representative team, if applicable
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Playing position *
You may select more than one position.
Required
Specialist skills
e.g. PC injector, PC trapper, PC drag flick, PC runner
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Availability for trials *
If not available for all trials please detail why (including dates not available).
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Availability for subsequent team requirements if selected *
If not available for trainings and practice games please detail why (including dates not available).
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