Registration Form
Adult Competition Registration Form
Please circle the competition that you are entering
(Print and bring in to Reception)
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Ladies Netball: Thursday Morning
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Mixed Netball: Monday Night Tuesday Night
Term 3 2011
Team Name: _______________________________________________________________
Team Members:
1. ________________________________________
2. ________________________________________
3. ________________________________________
4. ________________________________________
5._________________________________________
6. ________________________________________
7. _________________________________________
8. _________________________________________
9. __________________________________________
10. _________________________________________
Contact Person: _______________________________
Address: _____________________________________
_____________________________________________
Phone: (Hme) _______________________(mob) _________________________
_________________________________________________________________
Office Use Only
Date Received: ........................................................
Payment:.................................................................
Initial:.....................................................................