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Langwarrin Soccer Club
2025 Bayside Mens EOI
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1
Player Name
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Please enter your full name
First Name
Middle Name
Last Name
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2
Birth Date
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Please enter your birth date.
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Year
Month
Day
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3
Current Club (2024 season)
Please enter your 2024 club, if applicable.
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4
Contact E-mail
*
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Please enter the email address that you will use to receive information
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5
Mobile Number
Please enter the mobile number that you will use to receive information
Phone Number
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6
Additional Comments
Please enter any additional comments you may have
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