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RomTennisNZ Cup - Entry Form
Name
*
Surname
*
Address
*
Club
Association
Configure Rankings Code
Gender
Male
Female
*
Date of Birth
*
Home Phone
*
Mobile
Email
*
Select Event
Division 1: Boys 10 & Under
Division 2: Boys 12 & Under
Division 3: Boys 15 & Under
Division 4: Boys 18 & Under
Division 5: Girls 10 & Under
Division 6: Girls 12 & Under
Division 7: Girls 15 & Under
Division 8: Girls 18 & Under
*
Emergency Phone Number
*
Emergency Contact Person
*
Special Health Condition
I Agree with all terms and conditions of the RomTennisNZ Cup
I Agree
Yes
No
*
I give the permission to the organizers of the competition to use my name, video or photos which might be taken during the competition, for advertising and promoting this event
I Give Permission
Yes
No
*
Other comments
Entry Fee of $25 / participant / division Paid by
Internet banking
*
Internet banking: ASB 12-3136-0126933-00, Reference: Applicant’s name
Cheques: Make payable to Doina-Community of Romanian Aucklanders Inc
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