ACE 5 aside Kindy - U11
Registration form for Kindy - U11 5 aside
Please complete this form and then continue to the website shop to pay for you selection.
One form per player please.
Players First Name
Your answer
Players Surname
Your answer
Players Date of Birth
MM
/
DD
/
YYYY
Parents Name
Your answer
Male or Female - player
Best Contact Email Address
Your answer
Best Contact Phone Number
Your answer
Emergency contact name and phone number - different to above
Your answer
2017 Club, Division and Team - eg ACE U10 Goanna
Your answer
5 aside Group - self graded. *The club reserves the right to regrade. Please refer to grading chart on website.
Age Group you would like to request to play in for 2017 comp - self graded. *The club reserves the right to regrade.
Required
I am an individual player who would like to be placed into a team - you will be contacted via email to arrange allocation into a team
5 aside team name - If you do not know please answer not known
Your answer
Names of other players in your team - if known. Please use one line per player.
Your answer
5 aside team contact/manager name -If you do not know please answer not known
Your answer
5 aside team contact/manager mobile number - If you do not know please answer not known
Your answer
5 aside team contact/manager email address - If you do not know please answer not known
Your answer
Medical Conditions - write nil known if not applicable
Please list any medical conditions.
Your answer
How did you hear about this event
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