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Massey University Wellington - Social Sports Leagues: Participant Information (Individuals)
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Sport
*
Volleyball (Mon)
Netball (Wed)
Soccer (Thurs)
Required
Team Name
*
Your answer
Gender
*
Female
Male
Transgender
Prefer not to say
Other:
Date of Birth
*
MM
/
DD
/
YYYY
Wellington Address
*
Your answer
University
*
Massey University
Victoria University
Toi Whakaari
University of Otago
Other
Not a tertiary student
Mobile
*
Your answer
Email address
*
Your answer
Emergency Contact Name
*
Someone based in Wellington, who can come and help you home if need be.
Your answer
Emergency Contact Phone Number
*
Someone based in Wellington, who can come and help you home if need be.
Your answer
Consent & Waiver
I release Massey University & Wellington High School staff and organisations from any injury, damage or theft causes in association with playing social sport.
I will follow the referee and coordinators guidance at all times, and (where relevant), will abide by the Massey University Student Code of Conduct, or the Massey University Staff Code of Conduct
I consent for my photo to be used for promotional and event material
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