Registration Form
Name
*
First Name
Last Name
Mobile Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
I am (Male or Female)
*
Please Select
Female
Male
I am
*
Please Select
12 & Under
13 - 25 years
26 - 45 years
46 - 60 years
61 & Above
I am interested in participating in
*
Netball
Football
Board Games
Potato Race
Sack Race
Lime and Spoon
Tug O War
Musical Chairs
Seniors walk
Dominoes
Kalooki
Snakes & Ladder
Scrabble
Other
None
Submit
Should be Empty: