Association Champs Registration

Full Name

First & Last Name

Address

Date Of Birth

Please use ddmmyyyy format

Phone *

Email

MVID number (formally VNA)

Please nominate the age group you are trialling for

U11

U13

U15

U17

Domestic team played at Cardinia Life - Summer 2019/20, Winter 2020 (11s, 13s, 15s only)

Preferred playing position 1

Preferred playing position 2

Preferred playing position 3

(We will endeavour to trial everyone in their first 2 positions)

Last 2 years' playing experience

# of seasons played or any relevant info