Walking Football Memorial Tournament Kaiapoi - Registration

Community Group

Email*

Username*

Password*

Enter password again*

Team or Individual*

Impairment Age

Open

Team Manager

First Name*

Last Name*

Age*

Phone*

Street Address*

City*

Postcode*

Teams Name*

Team Shirt Colour

Team Short Colour

Team Sock Colour

No team to have a NW Football referee lime green colour shirt

Event/s

Walking Football New Zealand World Cup Trial

Start Date

Finish Date

(10 Weeks Competition)

Leagues

Impairment

Field

Team Costs $300.00 per team (Maximum 12 players per team)

Individual players contribute a percentage to the team cost

$20.00 Charge

Bank Account: Reference: Team Name Bank: ANZ Royal Oak Account Name: Wax Eye Sports and Performing Arts Account No: 06-0229-0877388-00

Team players, coaches and supporters agree to WFNZ Code Of Conduct

Do you agree?*

Yes

Manager, Coach, player medical condition and wellbeing is the team themselves not WFNZ.

Do you agree?*

Yes

How did you hear about us