Marist Auckland Waterpolo

U12 REISTRATION FORM 2007

MARIST AUCKLAND WATER POLO

BORN 1995 WATER POLO PROGRAMME

 

 

Name:

 

Parent/Caregivers names:

 

Address:

 

 

Phone numbers

 

Date of Birth

 

Current School

 

email address or email addresses:

 

This should include your parents email addresses:

 

Please print these very carefully:

 

 

 

 

 

BRING WITH YOU TO THE PROGRAMME REGISTRATION DAY SUNDAY FEBRUARY 18th  - 10.15am to 12 noon at SACRED HEART AQUATIC CENTRE. PHONE 021 656286 for any apologies