Whenuakite Netball 2025

1

Parents Name* This field is required.

First Name

Last Name

2

Parents Phone Number* This field is required.

Area Code

Phone Number

3

Parents Email* This field is required.

example@example.com

4

Childs Name* This field is required.

First Name

Last Name

5

Childs Year level

Year 1-4

Year 5/6

Yr 7/8

6

Child Date of Birth* This field is required.

Date

8

Medical InfoPlease let me know any relevant medical information