Rotokauri School Summer Sports Registration            Term 4 2020
                                                   LAST DAY FOR ENTRIES FRIDAY 18 SEPTEMBER
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Email *
Child's First Name *
Child's Surname *
Date of Birth *
MM
/
DD
/
YYYY
Year *
Chosen Sport *
Medical Conditions- allergies, asthma, etc (please write none if your child has no medical conditions we need to be aware of) *
Parent/Caregiver #1 Name *
Parent/Caregiver #1 Contact Number *
Parent/Caregiver #1 Email Address *
Parent/Caregiver #2 Name or Emergency Contact *
Parent/Caregiver #2 or Emergency Contact Number *
Coach/Manager/Referee *
Required
Coaches - preferred practice times (please indicate the times most suitable for you)
Fees - to be paid in Term 4 once teams are confirmed
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A copy of your responses will be emailed to the address you provided.
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