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North East Performance Pathway 2018 - 2019 - Trial Info
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Name *
Phone Number *
Email address *
Address *
Date of Birth *
MM
/
DD
/
YYYY
Age Group *
Playing Positions *
Club *
Club Coach *
School *
Previous Experience in pathway *
Emergency Contact and relationship to you *
Medical Information (eg asthma, allergies etc) if any, please include detail
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