Harlequin Touch - 2021/22 Social Mixed Adults Player Information Form
This form is an expression of interest for adults to participate in the 2021/22 Harlequin Touch Social Mixed Touch Program.

The program is planned to run weekly on Mondays (7.45pm - 8.45pm) from 8 November to 13 December and 17 January to 21 February, subject to Victorian Government restrictions.

The program will comprise:
- 3 week of get moving drills, come n try and 30 min games
- 6 week social mixed teams competition (subject to the number of teams we may create 2 Divisions). Each team will need a minimum of 2 women on the field in games at any one point in time

Completion of this player information form will enable you to receive further communication about the program

A registration process will follow subsequently once dates are confirmed. Registration fees are expected to be $65 per player or $650 per team. Teams can provide their own playing shirts. Individuals wanting to join teams will be able to buy shirts through the Club for $35 or form their own team and provide their own shirts.

Costs covered include ground hire, lights, referees, insurance and equipment.

Enquiries to touchsignup@quins.com.au
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Email *
Your mobile number *
Your first name *
Your surname *
Gender *
Your date of birth *
If we have 2 divisions, which division would you prefer to play in? *
Would you be interested in playing in a gala day for over 40's, mens, mixed and womens competitions sometime in November? *
Have you played Touch Football before? *
Did you play in the Harlequin Touch program last season? *
Playing experience *
What is your shirt size?
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Which friends would you like to play with if possible
Do you think it should be a requirement for participants and officials to be COVID vaccinated if they are able and eligible to be? *
Anything else you would like to tell us? (e.g. feedback on the program, your goals / reasons for playing)
Would you like to enter a team? *
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