2022 Country Carnival Junior Registration

Use this form to express an interest in the 2022 Country Carnival

Player Name *
Date of Birth Date of Birth * / MM / DD YYYY
Best contact phone number(s): *
Best Contact Email *
Club *
Division usually played *
Position normally played in the team: *
Gender *
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Which event are you registering for?
Note: Age categories are as of 31 January. *
Is the parent/caregiver able to assist with managing or helping to organise a team? *

Is the parent/caregiver able to assist with managing or helping to organise a team? May be able to assist if needed Unable to assist
Parent/Caregiver Full Name *
Please add any comments or notes to the organisers.