Full legal name

Cellphone and email address

• Boys Tau 9 - 13
• Girls Tau 9 - 13

Please choose one of the following.

• I am able to coach
• I am able to manage a team
• I am able to help with transport

If you are available and can help in any way, it will be much appreciated. If we do not have the support, we may not be able to enter teams. Kia kaha mai e te whaanau.

• I am happy for my details to be given to the coach
• I prefer not to give my details

This is for safety reasons only and will be kept strictly confidential.