Massey Social Sports Leagues: Participant Information
First Name *
Last Name *
Sport *
Required
Team Name *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Wellington Address *
University *
Mobile *
Email address *
Emergency Contact Name *
Someone based in Wellington, who can come and help you home if need be.
Emergency Contact Phone Number *
Someone based in Wellington, who can come and help you home if need be.
Consent & Waiver
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