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Player Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

League *

Y3/4 (Hoop Kids)

Y5/6 (Hoop Kids)

Y5/6 Girls (Hoop Kids)

Y7/8 (Hoop Kids)

Y7/8 IPL (Hoop Kids)

Y9-10 (Social College)

Y11-13 (Social College)

U12 (Intercity)

U14 (Intercity)

U16 (Intercity)

U20 (Intercity)

Social Men (Midweek)

Social Mixed (Midweek)

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Premier Men (Intercity)

Premier Women (Intercity)

Reserve Men (Intercity)

Contact Name *

First Name

Last Name