Question Title

* 1. Name

Question Title

* 2. Email

Question Title

* 3. Mobile

Question Title

* 4. Date of Birth

Date

Question Title

* 5. Please select your preferred division to play in for the 2020 State of Origin.

Question Title

* 6. What Affiliate did you play for at 2019 QLD State Cup?

Question Title

* 7. What division did you play in at the 2019 QLD State Cup?

Question Title

* 8. What Region will you be playing for at the 2020 NTL's?

Question Title

* 9. What division will you be playing in at the 2020 NTL's?

Question Title

* 10. Please detail your Elite Touch Football activity over the past two (2) years

The State of Origin selection policies pertaining to the 2020 State of Origin are available to view on the Queensland Touch website www.qldtouch.com.au in the Tournament tab in State of Origin Documents & Policies information.

T