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SUMMER_2011_2012_REGO_FORM_

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					                                                                           REGO FORM NEWCASTLE OZTAG
    TEAM NAME:                                                           COMPETITION AREA: NEWCASTLE                                    DELEGATE FREE
    TEAM DELEGATE:                                                       COMPETITION NIGHT:
                                                                         GRADE: A B C D E F G                    OVER30'S thurs nights

                                                                         DIVISION:   MENS MONDAY A,B,C,D.TUES MENS E,F,G WOMENS (thurs nigh
 EMAIL:                                                                  MIXED A, B C,D,
 CONTACT NUMBERS: (HM)                                           (WK)                                            (MOB)


     Indemnity: We below signed hereby declare & agree thet we are participating in the Oztag competition of our own free will and entirely at our own risk
 Signature: By signing this form I confirm that I am a registered Oztag player & have read and understood the insurance cover for players.We agree to abide by all rules as
determined by the organisers. We further warrant that we are in a fit state of health to participate.
                                                                             TEAM DETAILS
     PRINT FULL NAME                           RegoNo.                       PHONE NO.                DOB             signature          receipt payments
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 ASTLE OZTAG
 STLE                     DELEGATE FREE                        Y/N


    OVER30'S thurs nights

 Y A,B,C,D.TUES MENS E,F,G WOMENS (thurs nights)


     (MOB)


mpetition of our own free will and entirely at our own risk.
 surance cover for players.We agree to abide by all rules as


                                                 OTHER TEAM

				
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posted:3/2/2013
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