2024 National Championship Pick up List

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Details

2024 National Championship Pick up list to play for another State

Pick up List

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First name*

Last name*

Phone number*

Email address*

Address*

Age Group*

Preferred Playing Position*

Striker

Mid Field

Defender

Goalkeeper

Additional information you want to share with other state Max. 255 characters

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*