Regsiter as an Individual

Christchurch
Address: 7 Iversen Terrace, Waltham
Tel: (03) 366-6601
Fax: (03) 366-8612
Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

Individual Registration Form

teams please use this form to register your team

Any queries please please use the email address above

To register an individual please fill out the form below

Sport: *

Grade: *

Select the day you would like to play on *

Alternative Day: *

First Name: *

Surname: *

Home Phone: *

Business Phone:

Mobile Phone: *

Email: *

Street Address: *

City: *

Postal Code: *

How did you Hear about us: *

Comments

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