Rep Try Outs Registration Form

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Rep Try Outs Registration Form

Name * Name of person trying out.

Address *

Suburb *

Postcode *

Phone

Home * Home

Mobile *

Email *

Date of Birth *

Age in 2011 *

Which age group are you trying out for? * Under 12 - Born in 2000, 2001 Under 14 - Born in 1998, 1999 Under 16 - Born in 1996, 1997 Under 18 - Born in 1994, 1995 Under 20 - Born in 1992, 1993

Gender *

Did you play rep basketball in the 2010 season? *

If yes, with which club?