Student's first name

Student's last name

Student's year level

Email address

Phone number

Home phone number

Accept Terms and Conditions?

Please specify your medical issues, if any

Emergency contact number

Parent/Guardian name

Parent/Guardian contact number

Parent/Guardian willing to volunteer?

If yes, in what capacity?

Which team(s) are you trialing for?

If you played last year, what was the BEST team you played for?

What do you consider are your best playing positions?

Is there anything else that you want to share with the TIC?