2017/18 NSW U18 State Age Championships - Team Entry Form
NSW U18 State Age Championships (born 2000, 2001, 2002) are being held in Sydney, Friday 19 - Sunday 21 January 2018.

**Please submit ONE form for each team**

This entry form must be completed in full and received by Water Polo NSW before close of business Friday, 1st December 2017. Late entries will only be accepted at the discretion of WPNSW.

Team Entry Fee - $750 inc GST

Team Entry is due and payable before close of business Friday, 15th December 2017. Please ensure reference details are included on all payments e.g. 'Club' U18 Championships.

Any questions please email events@waterpolonsw.org.au

Email address *
Team Entry Details
Club/Region Name *
Team Name *
Your answer
Gender *
Team Official Details
Team Manager's Name *
Your answer
Team Manager's Email *
Your answer
Team Managers Mobile *
Your answer
Club Official Details
Club Official Submitting Forms *
Your answer
Club Official Position *
Your answer
Club Official Email *
Your answer
Club Official Mobile *
Your answer
Team Entry Submission Statement
In submitting this form for the 2017/18 NSW U18 State Age Championships, I agree, on behalf of the Club, to the Conditions of Entry (http://websites.sportstg.com/assoc_page.cgi?c=1-3209-0-0-0&sID=399955) and that all team entry fees will be paid prior to the commencement of competition.
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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