Applicant Full Name
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Age -- Please select your age --56789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960
Date of Birth
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Parent/Guardian Name
Parent/Guardian Email
Parent/Guardian Cell Phone
Will the parent/guardian be accompanying the applicant to Melbourne? YesNo
Batting
-- Select batting hand --Right-handedLeft-handed
-- Select batting order --Top-orderMiddle-orderLower-order
Bowling
-- Select bowling arm --Right armLeft arm
-- Select bowling pace --FastMedium paceSpin (off or leg-spin)
Wicket-keeper
YesNo
Why do you want to attend the International Cricket Pathway Experience?
As there are only 6 spots available, why should we select you as one of the participants? What attributes would you bring to the group?
By sending this form you consent to IC Pathway to contact you about this program
Program -- Please select your coaching type --Junior - One-on-one trainingJunior - Small group training (up to 6)Senior - One-on-one trainingSenior - Small group training (up to 6)
Applicant Name
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