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CENTRAL COAST ACADEMY OF SPORT (CCAS) FUTURE STARS PROGRAM

ONLINE APPLICATION FORM

CLICK HERE for program information

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ATHLETE INFORMATION

First Name *
Surname *
Postal Address *
Suburb *
State *
Postcode *
Home Phone
Mobile Phone *
Email Address *
Are you of Aboriginal or Torres Strait Islander descent? *
DOB: DD/MM/YYYY format *

PARENT / GUARDIAN CONTACT DETAILS

Parent/Guardian #1 Name *
Relationship *
Mobile *
Email Address (must be different than athlete email address) *
Parent/Guardian #2 Name
Relationship
Mobile

INDIVIDUAL SPORT INFORMATION

Sport *
Number of years playing *
Highest representation (list team / tournament) *
Club Coach *
Coaches Mobile *
Supporting documents - Application Letter *
Supporting documents - Scanned news articles etc

UNIFORM SIZING

**Please note this information will be used to order uniforms for those that are successful in being awarded a scholarship within the future stars program

Training Shorts *
Training Singlet *
Tracksuit *
Polo Shirt *
Hoodie *