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.
PRINT FULL NAME RegoNo. PHONE NO. DOB signature receipt payments
STLE DELEGATE FREE Y/N
OVER30'S thurs nights
Y A,B,C,D.TUES MENS E,F,G WOMENS (thurs nights)
mpetition of our own free will and entirely at our own risk.
surance cover for players.We agree to abide by all rules as