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Player Registration Form

Player registration (2011/12)

Fill out this form to register for this season.  Please register early to make it easy for the selectors to organise the teams.

Fields marked with are required. 

Role
PlayerCoachReferee/Umpire
OfficialCommitteeManager
VolunteerAthleteSupporter
First name
Last name
Email address
Date of birth
Sex
Address
Suburb
Town/City
Home Phone
Cell Phone
Verification
Please enter the following text in the space below

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Only $95 for two months