Course Registration Form

RMIT Redbacks YLM Tryouts

September 22nd and 24th
Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
example@example.com
Mobile Number

Phone Number
Last Club for and League played in (e.g. RMIT / YL2M)
Playing Position
Include here a little bit about your playing history and why you think RMIT would be a good fit
Should be Empty:

RMIT Redbacks YLM Tryouts