2020 Twilight Junior Comp Registration Form

2020 Junior Twilight Competition Registration Form
Player Details
Player's Name

First NameLast Name
Player's Date of Birth

MonthDayYear
Parent/Guardian Details
Parent / Guardian Name

First NameLast Name
Parent / Guardian Email
example@example.com
Parent/Guardian mobile number
Team Details
yes I amno, please find me a team
Team Name
Managers Email
example@example.com
Team Manager's Name

First NameLast Name
Miscellaneous Details
yesno
Please contact Beth, in our office, so she can assist you with the registration for Netball Qld (ph 3379 7481).

Cost is an additional $40 but will ensure you are covered for insurance in case of injury.

Please proceed to player payment.
What position do you play?
Which Club did you play for?
WDNA Clubs
Which age/division did you play in?
eg. 11 Div 2
MyNetball ID Number (if known)
Paypal (incl Bank Charges)Direct DepositBy Phone
By Direct Deposit
WDNA Account Details: BSB No: 064 129 Account No: 00902214 Account Name: Western Districts Netball Assoc. Please use TWI and your SURNAME as reference. eg TWI Smith You will be sent an email once your deposit & nomination has been confirmed WDNA
By Phone
To make a payment with your Debit Card or Credit Card, please call us with your Card details between the hours of 9am-1pm Mon-Fri ph. 07 3379 7481
By Paypal
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Twilight Competition - Player Fee$60.00AUD

Subtotal $0.00AUDTax $0.00AUDTotal $0.00AUD
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2020 Junior Twilight Competition Registration Form