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Details

2027 MiniRoos Team Expression of Interest (NEW PLAYERS ONLY)

Date TBA

Ngarrpadla, Dimboola St, Taperoo

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Child's First Name*

Child's Surname*

Child's Date of Birth*

Current/Previous Club

Curent Playing Age Group (if playing)

Parent Name*

Phone Number*

Email Address*

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

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