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Surveys
Complete survey
Full Name*
Date of Birth.*
Email Address*
Contact Number*
Delivery Address*
Please enter your Working With Children Check number.*
Please select your team.*
Please select...
U16 State Girls
U16s Blues Girls
U16s State Boys
U16s Blues Boys
What is your role?
Please select...
Head Coach
Assistant Coach
Manager
Physio
Coach Developer
Tech Support
For the purpose of claiming mileage what is the suburb/postcode that you will be travelling from?*
Do you require flights and/or accommodation for training 1?*
Feb 22-23rd Box Hill
Please select...
Yes (Flights)
Yes (Accommodation)
Yes (Both)
No
Do you require flights and/or accommodation for training 2?*
March 8-9th -Macarthur
Please select...
Yes (Flights)
Yes (Accommodation)
Yes (Both)
No
Do you require flights and/or accommodation for training 3?*
March 29 -Marang
Please select...
Yes (Flights)
Yes (Accommodation)
Yes (Both)
No
Because you have selected "Yes", please provide details on what you will require.
Please enter your bank details for your meal allowance. (Account Name - Account Number - BSB Number)*
Are you a returning official?*
Yes (most recent campaign), No
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