DIBV Open - Team Registration Form

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By completing this form you agree that you and your team mates will abide by centre rules and codes of conduct.

Email *

Have you completed your teams registration payment? *

Yes - Please proceed

No - Do not continue until you have completed this payment

Competition *

Team Name *

Captain - Full Name *

Captain - Contact Number *

Player 2 - Full Name

Player 3 - Full Name

Player 4 - Full Name

Player 5 - Full Name

Player 6 - Full Name

Player 7 - Full Name

Player 8 - Full Name

Player 9 - Full Name

A copy of your responses will be emailed to the address you provided.

Submit

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