Waiting List Contact Details

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Waiting List Contact Details - QISSN

Thank you for your interest in being a part of QISSN.
To be added to our waiting list, and so that we may contact you in the event a place becomes available, please enter your details in the below form
If you have any questions, please email qissneo@gmail.com
President: Ann Rebgetz
Contact: Evie Teasdale at 0409 995 449

If you wish to complete a registration for a girls and a boys team, please complete a separate form for each team.

Email *

School / College Details

School / College Name *

Are you entering a boys or girls team? *

Girls Team

Boys Team

Does your school also compete in Confro/QISSRL *

Yes

School / College Street Address *

School / College Postal Address *

School / College Phone number

Preferred Pool Placement *

A/B

C/D

E/F

G/H

Details of Contact Person 1

School / College Contact 1 Name

School / College Contact 1 Mobile Phone Number

School / College Contact 1 Email *

Details of Contact Person 2

School / College Contact 2 Name

School / College Contact 2 Mobile Phone Number

School / College Contact 2 Email *

Principal's Details

Principal's Name *

Principal's Email *

Additional Info

Comments

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