Player Name
First Name
Last Name
Birth Date
*
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Day
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Month
Please select a year
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Year
Guardian/Parents Names
*
Phone Number
-
Area Code
Phone Number
E-mail
*
What club does your child play for?
*
Jimboomba United
Park Ridge
Teviot Downs
Beaudesert
Logan Village
Canungra
My child doesnt play for a club
Other
Would you like to order a training kit? (shorts and shirt, $30)
*
Yes
No
Shorts Sizes
6
8
10
12
14
16
Shirt Size
6
8
10
12
14
16
Has your child participated in SWFA before?
*
Yes
No
Are you interested in volunteering on training nights?
*
Yes
No
Comments
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