Student's first name

Student's last name

Student's year level

Email address

Phone number

I accept the Terms and Conditions

Which team(s) are you trialing for?

Your mobile number

Home phone number

Please specify your medical issues, if any

Parent/Guardian name

Parent/Guardian mobile phone number

Parent/Guardian e-mail address

Emergency contact number

Parent/Caregiver willing to volunteer?

If yes, in what capacity?

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

NO