Trial Details

Registration Cost
$20.00 AUD

Location

Gate 4, 11 Holloway Road

Registrations Close
11/10/24 8:00AM

Dates
20/10/24: 1:30pm to 3:00pm
27/10/24: 1:30pm to 3:00pm

Player Details

First Name:

Last Name:

Address

Suburb

Postcode

Phone Number

Email Address

Date Of Birth

Position One Select your preference GS GA WA C WD GD GK

Position Two Select your preference GS GA WA C WD GD GK

Parent's Name

Parent's Number

Parent's Email

Additional Information

Current Club ( e.g Mavericks, Haileybury Hearts)

Current Domestic Team ( 2024)

Current Domestic Section as shown on netball connect fixtures ( 2024 )

Are there any medical conditions we should be aware of ?

Are there any food allergies we should be aware of ?

Emergency Contact Name

Emergency Contact Phone Number

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