By completing this form, you are registering to trial for the Under 25 Program

This form will take approximately 10 minutes to complete. This form must be completed in one attempt - it cannot be saved or completed later - so please ensure you have all infomation available before commencing the form

Thank you for your interest and good luck for the trials

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* 1. First Name

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* 2. Surname

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* 3. Date of Birth (DD/MM/YEAR)

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* 4. Home Address

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* 5. Suburb

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* 6. Post Code

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* 7. Email Address

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* 8. Mobile Number

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* 9. Height (CM)

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* 10. Weight (KG)

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* 11. Bat

  Bat
Left
Right
Switch

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* 12. Throw

  Throw
Left
Right

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* 13. First Preferred Playing Position

  First Preferred
Pitcher
Catcher
First Base
Middle Infield
Third Base
Outfield

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* 14. Second Preferred Playing Position

  Second Preferred
Pitcher
Catcher
First Base
Middle Infield
Third Base
Outfield

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* 15. Current Summer Club

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* 16. Current Winter Club

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* 17. Do you agree with the terms and conditions to pay the cost within the specific time?

Thank you for registering for the U25 Program.

Please contact Ashley Blair on (03) 9645 8000 or ashley.blair@baseballvictoria.com.au if you have any questions.

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