Athlete registration of interest
Event: Grade 12/13 Interprovincials
Event Timing: Easter, Fri 10 April to Sun 12 April 2020
Event Venue: Auckland
I want to register an athlete who is interested in being selected for the Wellington team
Athlete details
Athlete family name *
Your answer
Athlete first/preferred name *
Your answer
Athlete gender *
Athlete date of birth *
Athlete mobile phone number
Your answer
Athlete physical address (eg for courier) *
Your answer
Athlete - member of which club?: *
Your answer
Best events
Please select the athlete's best four events from the options below
Event options *
Parent/caregiver details
Parent/caregiver full name *
Your answer
Parent/caregiver email: *
Your answer
Parent/caregiver phone number *
Your answer
These are estimates, and may vary depending upon the details of accommodation etc that are not yet finalised, and the extent of grant funding that we may receive.
I understand that if the athlete is selected for the team, I will be required to meet the costs of participation, currently estimated at approximately $400 per athlete. This cost includes transport, accommodation, food in Auckland, and event entry costs). I also must provide/ pay for team uniforms. Costs vary depending on whether or not the athlete already has a Wellington centre uniform, but may be in the order of $120.00 *
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