Yara Basketball Juniors

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Young Persons Name(Required)

First Last

Young person's Date of Birth(Required)

Must be 12yrs and under

Do you identify as Aboriginal or Torres Strait Islander (young person) or from Culturally and Linguistically Diverse background?(Required)

Yes

If yes,

I identify as Aboriginal or Torres Strait Islander

I identify as someone from a Culturally and Linguistically Diverse Background

Caregivers Name(Required)

First Last

Phone(Required)

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