Sports House, Ph: (07) 3876 5576
150 Caxton Street, Fax: (07) 3876 5513
Milton Qld 4064 Email: email@example.com
Player / Member Registration Details
Club: Team Name:
Please Tick the applicable Tournament:
State Championships Inter Regional Championships
ACA Membership Qualified Referee
Identification Member's Full Name Financial Yes / Referee Yes / Accreditation
Number No No Number
One Form Per Team Entered in the Tournament
This form is to be completed prior to arrival at the tournament.
The completed form is to be handed to Venue Tournament Manager on arrival at the Venue.
No team shall be allowed to participate unless this completed form is with the Venue
Tournament Manager and registration details (ACA ID No.) are verified as being correct prior to the
commencement of the first scheduled game.
The requirement for the details on this form to be completed, are for Insurance purposes.