Trial Registration – Junior State Cup 2018 Registration for Junior State Cup 2018 Trial. Please complete the following survey if you intend on trialing for Junior State Cup 2018 Trial Dates are: Thursday, 21st September 2017 (5PM-9PM) Thursday, 12th October 2017 (5PM-9PM) If player is unavailable for both trial dates and wants to be considered for selection an email detailing reason for unavailability must be submitted to firstname.lastname@example.org. * Indicates required field Age Division Details Please use the following list to identify the age divisions you are eligible for. Note: The date of birth ranges do overlap to allow for players to play up an age division. Age Division Date of Birth Under 10 1/1/2008 - 15/2/2012 Under 12 1/1/2006 - 15/2/2010 Under 14 1/1/2004 - 15/2/2008 Under 16 1/1/2002 - 15/2/2006 Under 18 1/1/2000 - 15/2/2004 Player First Name*Player Surname*Player Date of Birth*Primary Contact Name*Mobile Phone*Email*Division*Please select your answerUnder 10 GirlsUnder 10 BoysUnder 12 GirlsUnder 12 BoysUnder 14 GirlsUnder 14 BoysUnder 16 GirlsUnder 16 BoysUnder 18 GirlsUnder 18 BoysTrial Availability Note: If a player is unavailable for both trial dates and wants to be considered for selection please continue to complete this form and then send an email to: email@example.com. Thursday, 21st September 2017 Thursday, 12th October 2017Registered in 2017 Hills Spring Competition* Yes NoSpring Competition Team NameSpring Competition Shirt Number (if known)Time is Up!