By filling out this form, you are registering a team or team(s) to participate in the:

Perth, WA
12 November 2017
10 am - 12:30 pm

Curtin University
Curtin Stadium
Kent Street Bentley

*Please contact Gabrielle Migliore
for more details.

Email address
How many teams are you registering?
Please enter TEAM NAMES below. This will be used for certificates & other print materials!
Your answer
Coach or Teacher Name
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Coach or Teacher Phone
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School, Company or Organization Name
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Team Location: City, State
Your answer
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