Individual Nominations - Mens/Mixed/Womens (Seniors) OR Juniors

JUNIORS

WHERE:                                                                             

  Monday: Chelmer 

            Western Districts Community Sports Club, Cnr Oxley Rd & Queenscroft Street Chelmer

 

 

 

**NEW** Thursday: Mitchelton

Wests Mitchelton Leagues Club, Prospect Road, Gaythorne

 

 Cost is AUD $50/player and is inclusive of 9 Rounds of Competition + Finals Week + Insurance Cover

SENIORS

The individual nomination fee of AUD $95 must be paid to be placed into a team for the City Touch Senior Winter 10 Competition.

Please complete this form if you are interested in EITHER the Senior or Junior Competition. Under Team Details in the form below please choose whether you are nominating Mens, Mixed, Womens (Senior) or Juniors (Kids)
Contact Details (Either your details if nominating for Seniors or your childs details if nominating for Juniors)

Team Name &/OR Individual Name:

Date of Birth:

Address:

Suburb:

Postcode:

Email Address:

Phone:

How did you here about City Touch?
MMM    Courier Mail   Word of Mouth 
Yellow Pages Other   

Previous Team - Which Team?

Team Details

Mens

Mixed

Womens Juniors

Preferred Venue

Preference 1      

East

South

North

West
Preference 2      

East

South

North

West
Preference 3      

East

South

North

West

Preferred Night

Preference 1      

Monday

Tuesday

Wednesday

Thursday

Preference 2      

Monday

Tuesday

Wednesday

Thursday

Preference 3      

Monday

Tuesday

Wednesday

Thursday

I agree to abide by the competition regulations and game rules and be responsible for the payment of the fees

 


 

 

© 2005 City Touch Assoc Inc
Are you currently or have you ever played with another Touch Competition?

Yes

No

If yes:

Name of competition
Grade