2012 On-line Carnival Registration

Instructions:

Please submit your on-line registration using the following form. Please note that all fields are mandatory - if a particular field is not applicable to your team please type (n/a). 

Once you submit your nomination form it will be e-mailed to the carnival coordinator for registration purposes. Once your nomination has been received, the carnival coordinator will e-mail you to advise if your nomination has been accepted (subject to payment).

You will then have seven (7) working days to either forward a cheque/money order or complete an electronic funds transfer (EFT). If you have nominated EFT as your preferred payment method - our account details will be provided in your confirmation e-mail.

All fields are mandatory


Team Details:
Select a Carnival:
   U6 (12 August 2012)
  U7 (12 August 2012)
  U8 (22 July 2012)
  U9 (24 June 2012)
  U10 (27 May 2012)
  U11 (29 April 2012)
Club:  
Team Name:
SSF Division
 Geckos
Goannas
 Komodo Dragons
Not Applicable

Coach Details:
Coach Name:

    
Telephone No:  (Hm)    (Mb)
E-Mail:  

Manager Details:
Manager Name:
Telephone No:  (Hm)    (Mb)
E-Mail:
Payment method: Cheque
Money Order
EFT Transfer


 
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