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TEAM REGISTRATION FORM ADDITIONS & DELETIONS ONLY

***Please type of print clearly and complete all sections***

TEAM NAME___________________________________________________SECTION__________________________SEASON_________________
COLOURS________________________________________________________________________________________STATE___________________
ADDITIONS:
TEAM MEMBERS
NAME

EMAIL OR
RESIDENTIAL ADDRESS

SIGNATURE

DATE OF
BIRTH

DATE OF
JOINING

EMAIL OR
RESIDENTIAL ADDRESS

SIGNATURE

DATE OF
BIRTH

DATE OF
JOINING

1
2
3
4
5
DELETIONS:
TEAM MEMBERS
NAME
1
2
3
4
5
Note: In registration of Under 12s and Under 17s, proof of age must be verified by Extract of Birth Certificate or an acceptable Proof of Age document.

STATE REGISTRAR_____________________________________________DATE / /

DDA REGISTRAR_________________________________________DATE

DDA TEAM REGISTRATION FORM ADDITIONS & DELETIONS ONLY (R2)

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