2024 SCHA U16 Boys Rep Player Nomination + Medical Form

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Details

Sun 15 Sep 2024 00:00 — Wed 18 Sep 2024 16:00

Gympie

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Primary Playing Position*

Striker

Midfielder

Defender

Goal Keeper

Secondary Playing Position

Striker

Midfielder

Defender

Goal Keeper

Other relevant information Max. 255 characters

Please note

All prices are inclusive of GST.
A Nomination Fee of $50.00 applies for this event.

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*

Sponsors

GAGE BREWERY - GOOD DRINKS CO

Bendigo Bank - Buderim

Sunshine Coast Council

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Pride in Sport

Play By The Rules