TLFC 2020 Komodo Trials Registration
Event Timing: Mondays, 5:00-6:00pm: 14/10, 21/10 & 28/10.

Event Address: North Lakes State College.

Contact: 0438 880 287 roger.lourenco79@gmail.com
Email address *
Players First Name *
Your answer
Players Surname *
Your answer
Players Date of Birth *
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DD
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YYYY
Best Contact Phone Number *
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Parent/Guardian Name *
Your answer
Please specify if the player has a medical condition. *
Your answer
2019 Club and Grade
What was the club and level played during 2019? (Only U10 &U11 registration to complete)
Example: The Lakes U9 Komodo
Club and Level *
Your answer
Age Group player will be trialling for *
Preferred Position *
Preferred Foot *
Suburb the player will be residing in during 2019 *
Your answer
A copy of your responses will be emailed to the address you provided.
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