75th Jubilee Registration

Levin College Old Boys

75th Jubilee Registration 2022
PLEASE NOTE: We are now operating as a Waitlist Style event. Please follow through with the form- however we ask that you hold your payment until we contact you with an available ticket.

Thank you
Name

First NameLast Name
Address

Street Address

CityState / Province

Postal / Zip Code
DOB

DayMonthYear
Date of Birth
Email
example@example.com
Phone Number

Phone Number

PLEASE NOTE:

Under the Horowhenua District Council occupancy regulations for our venue, the Black Tie Event will have limited attendees. First registrations confirmed with payment will have first tickets held. Registration is FREE for Members. (Sponsors, Jersey Donor, Current Player, Coach, Manager, Committee Member, Volunteers & Life Members.)
Please select the events you will be attending?

Black Tie Event- Definite attendees only (Friday 3rd June)COB Games held at the Levin Domain (Saturday 4th June)COB After match and Live Band til late (Saturday 4th June)COB Whanau Day (Sunday 5th June)
Please select ONE of the following:
prevnext( X )
Club MemberPlease select this option if you are a Club Sponsor, Jersey Donor, Current Player, Coach, Manager, Committee Member, Volunteer or a Life Member.
$ FreeNZD

Social Membership/Jubilee FeeThis fee includes your annual social membership as well as entry to all events over the Jubilee weekend, however if we are in a Red Light, we will have to follow limitations with numbers attending. **If for any unseen circumstances we can no longer accommodate to large numbers attending due to a Red Light, We will be in touch with you regarding these events.
$20.00NZD

Total

$0.00NZD
Should be Empty:

Levin College Old Boys