Galaxy Netball Breaks


                  
Brighton Weekend August 18th & 19th 2007

                                                       
Registration form


Please complete a separate form for each team you wish to enter.

All entries, along with a non-returnable deposit of �40 per team is by Friday 15th June 2007.  Full payment due by Friday 13th July 2007.  All monies to be paid by cheque addressed to Miss Cheryl Perry, 182 Trinity Road, Southend, Essex, SS2 4HW


Contact details

Team name������������������������.

AENA Club affiliation no������������������..

Name of contact����������������������.

Address�������������������������..

�����������������������������

Telephone no:���������Email������������


Umpires

All teams must supply an umpire qualified to a minimum of C award level.

Umpire name�����������������������

Qualification���������Qualification no�������..



Players

All players must be over 18 years of age and be AENA affiliated for the current year.  A mininmum of 8 players is recommended per team.
All AENA cards for individual players will need to be available for inspection upon when registering upon arrival.

Player's name                                                     AENA no.
1 ......................................................               ......................................
2  ......................................................               ......................................
3  ......................................................               ......................................
4  ......................................................               ......................................
5  ......................................................               ......................................
6  ......................................................               ......................................
7  ......................................................               ......................................
8  ......................................................               ......................................
9  ......................................................               ......................................
10  ....................................................               ......................................
11  ....................................................               ......................................
12  ....................................................               ......................................
13  ....................................................               ......................................
14  ....................................................               ......................................

Payment

Amount enclosed�����������������������


Many thanks for your entry.  We look forward to seeing you in August.


Galaxy Netball Breaks
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