Avalon Rugby Football Club

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					Avalon Rugby Football Club
TOUCH FOOTBALL REGISTRATION FORM 2009/10

Team Name_____________________________________________________

                                   DIVISION (Please Circle)
                                  WEDNESDAY: Men’s Social
                                         Mixed Social
                                    Men’s Over 30 & 35’s
                                  THURSDAY: Mixed Social
                                         Men’s Social
                                       Women’s Social

TEAM CONTACT:__________________________________________________

ADDRESS:________________________________________________________

PHONE: ____________________ FAX: _________________________________

CELLPHONE: ____________________EMAIL: ___________________________

PLAYERS NAMES
1. _____________________________ 2. _________________________________

3. _____________________________4. _________________________________

5. _____________________________6. _________________________________

7. _____________________________8. _________________________________

9. _____________________________10. ________________________________

11. ____________________________12. ________________________________

13. ____________________________14. ________________________________

Costs are $350 per Team

PLEASE NOTE: Teams must be registered and financial (fully paid) by Friday 17th October
5pm to be eligible for the sponsorship prize draw. Competition starts Wednesday 22nd
October.
Fraser Park
Percy Cameron Street
P O Box 30-647, LOWER HUTT
Phone (04) 567 8917
Fax (04) 560 3705
Email form to allan@hcdnz.co.nz

				
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