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Boccia Registration Form
Please complete the form below to register for Boccia for the Festival of Disability Sport.
We will be back in touch to reconfirm prior to the event.
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Email
*
Your email
First Name:
Your answer
Last Name:
Your answer
Date of Birth:
MM
/
DD
/
YYYY
Mobile Phone Number:
Your answer
Email Address:
Your answer
Please provide details of any Medical Conditions:
Your answer
EMERGENCY CONTACT (Name and Phone Contact):
Your answer
Have you played Boccia before?
Your answer
Are you available to play at the below sessions?
Saturday 27th April 12pm-2pm
Sunday 28th April 12pm-2pm
Do you give permission to have your photo taken and used by Parafed BOP?
Yes
No
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Thank you!
We will be back in touch.
Suzanne Morrison
suzanne@parafedbop.co.nz
Your answer
A copy of your responses will be emailed to the address you provided.
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