Phone:
0412 955 559
or (08) 8947 0270

29 Benison Rd, Winnellie,
N.T. 0820, Australia





 

Home > Registration

 
Welcome. You are visitor number

PLEASE ENSURE ALL FIELDS ARE FILLED IN. TEAM NAME, EMAIL ADDRESS, COMPETITION, GRADE, START DATE AND EARLIEST START TIME, AS WELL AS AT LEAST THE CAPTAIN'S DETAILS, MUST BE FILLED IN BEFORE YOU SUBMIT THIS FORM. 

New Wet Season Comp starts from Monday 13th September 2010

 

Team Name:

Captain's Email Address:

Selected a Competition:

Select a Grade

 

Date to commence play:

What is the earliest time your team can start play? (Games start daily at 5.45pm, then every half hour after that)

Captain

First Name:

Surname:


Home Phone:

Work Phone:

Player 1

First Name:

Surname:


Home Phone:

Work Phone:

Player 2

First Name:

Surname:


Home Phone:

Work Phone:

Player 3

First Name:

Surname:


Home Phone:

Work Phone:

Player 4

First Name:

Surname:


Home Phone:

Work Phone:

Player 5

First Name:

Surname:


Home Phone:

Work Phone:

HAVE YOU FILLED IN ALL THE RELEVANT FIELDS? PLEASE CHECK BEFORE SUBMITTING THIS FORM.