Tee-Ball Registration Form 2023.24
Alkimos Ball Club Inc
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Email *
Surname: *
Given Name(s): *
Date of Birth: *
MM
/
DD
/
YYYY
Birth Certificate Number: (please email a copy to Registrar Sue Hoen at alkimosballclub@gmail.com) *
Street Address: *
Suburb: *
Post Code: *
Phone Number: *
Email Address: *
Clubs previously played for (if none, write N/A): *
Clearance required to transfer clubs? *
Please list any medical condition(s) below: *
Shirt Size: *
School Attending:
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