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 *
MM
/
DD
/
YYYY
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 *
Required
Parent/caregiver details
Parent/caregiver full name *
Your answer
Parent/caregiver email: *
Your answer
Parent/caregiver phone number *
Your answer
Acknowledgements
Costs
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 *
Required
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