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BACCHUS MARSH
SCORPIONS SOCCER CLUB
2025 Season Expression of Interest
Player's first name
(Required)
Player's surname
(Required)
Player's Birthday
(Required)
Day
Month
Month
Year
Parent's full name (if junior player)
Contact Email
(Required)
Contact Phone
Have they played soccer before? If yes, please list previous club/s.
Are you able to volunteer?
Any extra information
Submit
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