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A.P.I.A.

Leichhardt Tigers Football Club


TRIALS - Season 2016

Player Name: ____________________________________________________________________________

Date of Birth (xx/xx/xx): ___________________

Age Group Trialling: ______________

Preferred Position: ________________________________________________________________________

Parent(s) Name: _________________________________________________________________________

Address: _________________________________________________________________________________
___________________________________________________________________________Code:_________

Primary Contact Phone/ Mobile number: __________________________________________________


Email address : __________________________________________________________________________
Previous Club/s Season 2014 and 2015: __________________________________________________
School: __________________________________________________________________________________

On behalf of APIA Board of Management we thank you for choosing APIA as your preferred Club for
trials and representing our high profile Club in Season 2016.

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