Registration Form

2023 Rego

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POLO BY THE PIER 2023 REGISTRATION FORM Saturday the 4th of February 2023

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NOTICE COVID-19 Event safety protocols require the collection of each players phone number and postcode. Please gather this information before entering. Teams that have not provided this information will be unable to play on the day. This information will not be used for any purpose other than to ensure a COVID-Safe Event. Thank you for your understanding.

Team Name *

Tournament

Please feel free to contact us if you have any questions or concerns about where to enter your team.

Team Manager Name *

Team Manager Email *

Phone *

Note: Minimum of 10 players per team.

Registration is $60 per player.

Registration includes refreshments throughout the day in addition to a dinner on the night of the event. Payment will be made via PayPal at the completion of this form.

Player 1 *

T-Shirt Size (S-XXL)

# 1 Postcode *

# 1 Phone *

Player 2 *

T-Shirt Size (S-XXL)

# 2 Postcode *

# 2 Phone *

Player 3 *

T-Shirt Size (S-XXL)

# 3 Postcode *

# 3 Phone *

Player 4 *

T-Shirt Size (S-XXL)

# 4 Postcode *

# 4 Phone *

Player 5 *

T-Shirt Size (S-XXL)

# 5 Postcode *

# 5 Phone *

Player 6 *

T-Shirt Size (S-XXL)

# 6 Postcode *

# 6 Phone *

Player 7 *

T-Shirt Size (S-XXL)

# 7 Postcode *

# 7 Phone *

Player 8 *

T-Shirt Size (S-XXL)

# 8 Postcode *

# 8 Phone *

Player 9 *

T-Shirt Size (S-XXL)

# 9 Postcode *

# 9 Phone *

Player 10 *

T-Shirt Size (S-XXL)

# 10 Postcode *

# 10 Phone *

Do you have an 11th Player?

Yes

Player 11

T-Shirt Size (S-XXL)

# 11 Postcode *

# 11 Phone *

Do you have a 12th Player?

Yes

Player 12

T-Shirt Size (S-XXL)

# 12 Postcode *

# 12 Phone *

Do you have a 13th Player?

Yes

Player 13

T-Shirt Size (S-XXL)

# 13 Postcode *

# 13 Phone *

Declaration *

I hereby declare, that all of the information I have provided is complete and correct. I am aware that missing or incomplete information, whether deliberate or the result of negligence, may exclude me from the admission into the tournament

Prior to submitting

When clicking ‘Submit’ you will be taken to an external PayPal site. Please ensure you complete payment to secure your team’s place in the competition. Submission without payment will not complete the process.