Registration for all Junior Competition Teams
Please register your child's details as a player for the Junior Competition - please note this form is ONLY for players for competition grades and only for players from school years 3.4.5.6.7 & 8 - we will register NON PLAYING juniors next month for the skills program.
* Required
Did you play for Rangiora last season?
*
Yes
No
If YES - please state which team or coach your child was in
Your answer
What school do they attend?
*
Your answer
Please make sure you tick the correct box for the grade based on the players SCHOOL YEAR
*
MINI Sticks - school year 3&4
KIWI Sticks - school year 5&6
KWIK Sticks - school year 7 - CHA have stipulated that year 7's are to play 7 a side
KWIK Sticks - school year 8 - CHA have stipulated that ONLY Year 8's are to play 11 a side
Other:
Required
Player school year
*
Yr 3
Yr 4
Yr 5
Yr 6
Yr 7
Yr 8
Required
Player's Name
*
Your answer
Players Gender
*
Female
Male
Player's Date of Birth
*
MM
/
DD
/
YYYY
Address
*
Please enter your full address including postcode
Your answer
Email address
*
Your answer
Mobile phone number
*
Please provide a mobile phone number as your primary contact - this will be used for team texts etc
Your answer
Emergency Contact details - Name
Your answer
Emergency Contact details - email address
*
Your answer
Emergency Contact details - Phone number (preferably a mobile please)
*
Your answer
Are there any special requests we should be aware of? We will do our best to accommodate any requests to be in specific teams etc, but can not guarantee that we will be able to make this work for every case. If your child has any specific health requirements, please let us know here too.
*
Your answer
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