DEADLY ROOS – APPLICATION FORM To apply to join us in Africa for this amazing experience, please fill out the form below. Your Name (required) Your Email (required) State (required) —Please choose an option—ACTNSWNTQLDSATASVICWA Postcode (required) Phone Number (required) I am applying as a (required) —Please choose an option—PlayerCoachTeam ManagerUmpireSupporter Jumper Size (required) —Please choose an option—XSSMLXLXXLXXXL Jumper Number (required) Football Club (required) Football League (required)