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* 1. First Name

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* 2. Surname

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* 3. Date of Birth

Date

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* 4. Email address

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* 5. Phone

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* 6. Select your age group

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* 7. Emergency Contact Details

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* 8. I / we advise of the following details of any allergy, condition, medical intervention requirement, and / or physical or medical concerns appropriate to the above player / participant.

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* 9. In case of illness or injury which may occur in connection with participation in a BV program, I consent to BV providing medical assistance and treatment to myself as deemed necessary.

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* 10. Select you tshirt size - sizes are adult

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* 11. Field Position

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* 12. Batting

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* 13. Throwing

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