Player Information Form Page 2

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East Torrens District Cricket Club Inc.
a
91
917
A8N 42
740
Campbelltown Memorial
Oval
......
'W"
G o o d
Sports
Cl u b
GOOD
SPOilTS
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-
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Other Information
It is important we have an understanding of players needs and abilities, please complete the following.
Does the player:
(Please circle)
Identify as Aboriginal or Torres Strait Islander
Yes
No
Have a disability
Yes
No
Have a medical condition
Yes
No
If you answered Yes to any of these questions please provide details below:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Drop off / Pick up arrangements
If the player will not be dropped off/picked up by a parent/guardian to/from training, please provide details
below of the alternative travel arrangements.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Signature / Date
Signature _____________________
Date___________________

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