WNPL

1
Player Name* This field is required.
First Name
Last Name
2
Player DOB* This field is required.
Date
Year
Month
Day
3
Parent/Guardian name (If player is under the age of 18)
First Name
Last Name
4
Email* This field is required.(Parent/Guardian email for players under the age of 18)
example@example.com
5
Mobile Number* This field is required.(Parent/Guardian mobile if player is under the age of 18)
6
Current local club (2018)* This field is required.
7
Age division of interest* This field is required.(You may select more than 1)
U13
Reserve Grade
U15
First Grade
U17
8
Preferred playing position/s* This field is required.
9
Secondary preferred playing position/s
10
Playing History* This field is required.
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Large
Normal
Small
Ok
Ok
11
Would you like your expression of interest to remain confidential or do you give permission for WCW to share your interest with prospective players?* This field is required.
Confidential
Share
12
Comments?
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Normal
Small
Ok
Ok
13
Please verify that you are human* This field is required.
Should be Empty: