Nines registration form

                REGISTRATION FORM

 

Team Name & Emblem:

____________________________

Number of Teams:

____________________________

Group / Affiliation:

____________________________

Club/ Jersey Colours:

____________________________

Club Contact:

____________________________

                         (Name)                          ­­­­­­­­­­­­­­­­­­­­­­

________________________________

(Address)

________________________________

(Phone)

________________________________

 

 

*Club Contact may be contacted by Radio or Television Stations

for short interviews in relation to the event.

We recommend Presidents or coaches as contact person.

 

By forwarding this cheque, we confirm, we wish to participate in the

‘Knights Nines’ to be held on Saturday March 6th 2010

The Kiama Knights Nines Prize Money will be sent to the winning clubs,

via cheque, on or before Friday 12th March 2010

 

_________________________

Signed on behalf of your respective Football Club

 

___________________________

(Please print name & title)

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

ENTRY FEE $500.00 Per team entry

               Please make all cheques payable to

‘Kiama Knights RLFC.

 

Postal Address:

Kiama RLFC

P.O. Box 40

Kiama NSW 2533

 

Sponsors Information

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