Under 12 New Zealand Tour 2025
Fill out the form carefully for team registration
Player Name (as per passport)
*
First Name
Middle Name
Last Name
Player Birth Date
Please select a month
January
February
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Month
Please select a day
1
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Day
Please select a year
2026
2025
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Year
Gender
*
Please Select
Male
Female
N/A
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent Name
First Name
Last Name
Parent Email
*
example@example.com
Parent Mobile Number
*
Does your child have Dietary Requirements? Please list these below.
*
Does your child have any Allergies? Please list these below.
*
Will any supporters/ family members be attending the trip also?
Please Select
Yes
No
If yes, would you like to be added to the team booking, or will you be making your own arrangements ?
Making my own arrangements
Would like package info
Want to book with the team
Please Provide a copy of player passport (this can be sent directly at a later date if required)
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Emergency Contacts
Incase of an emergency , please provide the contact details of 2 people that coaching staff are able to contact if unable to reach parents.
Emergency Contact 1
First Name
Last Name
Phone Number
Please enter a valid phone number.
Emergency Contact 2
First Name
Last Name
Phone Number
Please enter a valid phone number.
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