Any amateur player or official is invited to apply to represent the Australian Convicts on one of our upcoming tours.

By completing this form you are applying to represent the Convicts in an upcoming tour. Please complete all fields marked with an asterisk*

	Choose Tour*	China 2008 South Africa 2009 AFL International Cup 2008
	First Name*
	Last Name*
	Postal Address
	City
	STATE*	Choose State VIC SA QLD NSW TAS NT WA ACT
	Postcode*
	Telephone No.*
	Mobile.*
	Age*
	Date of Birth
	Height
	Weight
	Football Club
	Position/s Played
	Experience
	Representative honours
	Email*
	How did you hear about the tour?