U16 All-Star Game

Please complete the form below to sign up to the U16 All-Star Game

* indicates required

Player First Name *

Player Last Name *

Email Address *

Player Date of Birth *

/
/

( dd / mm / yyyy )

Kit Short Size *

Kit Vest Size *

Name of Parent/Guardian

Emergency Contact Number *

Any relevant health information

Parent permission for photo/video consent?

Parental medical treatment permission if required?

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