If choosing Social (Option B), what is your Team Name? If not choosing this option, just type in 'N/A'. *
Your answer
If choosing Social (Option B), what is the name of your coach?
If not choosing this option just type in 'N/A'.
*
Your answer
If competitive, and you do not make the Boys or Girls A Team, but are in the next group of 6 Boys or Girls, will you play Mixed A? (If answer is no, then you will be placed in Boys or Girls B Team.) *
Room # *
Your answer
Year Level *
Gender *
Date of Birth *
MM
/
DD
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YYYY
Parent/Guardian Contact First Name and Surname *
Your answer
Parent Contact Email Address *
Your answer
Parent Contact Cellphone Number *
Your answer
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