Student's first name

Student's last name

Student's year level

Email address

Phone number

Student phone number

Accept Terms and Conditions?

Please specify your medical issues, if any.

Parent/Guardian name

Parent/Guardian email

Parent/Guardian mobile number

Emergency number

Parent/Guardian willing to volunteer?

In what capacity?

Are there some other students you want to play with? Students are welcome to form their own teams. List their full names below. (They will also need to complete the registration and payment)

Which division do you want to play in?