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Flippa Ball Year 4 - 6: Registration Form

PLEASE NOTE PAYMENT IS REQUIRED AT THE END OF THIS REGISTRATION FORM.

IF YOU FILL IN THE FORM; BUT DO NOT COMPLETE PAYMENT WHEN PROMPTED- YOUR REGISTRATION FORM WILL NOT BE SENT.

YOU WILL RECEIVE A CONFIRMATION EMAIL IF YOUR REGISTRATION IS SUCCESSFUL.

PLEASE MAKE SURE YOU CHECK YOUR SPAM/JUNK FOLDER.

IF YOU DO NOT RECEIVE AN EMAIL, BUT THINK YOU HAVE PAID/REGISTERED, PLEASE CONTACT sport@pillanspoint.school.nz

Child's first name *
Child's surname *
Year level *
CHILD'S DOB *
Parent's name *
Mobile number *
E-mail address *
How many years have you played Flippa Ball? *
Vikings|Titans|Dolphins
Would your child like to be in the same team?
Do you have any requests for team placement?
Are you available to coach? *
Are you available to manage?
I have read and agree to the guidelines of Extra-curricular Sports Code of Conduct and the Statement of Intent: Children in Sport *

 

 

IMPORTANT!
This form requires a payment of $75.00.
After submitting this form, you'll be redirected to our payment page to make the payment and complete the form submission.
Failure to complete the payment will mean the form ISN'T submitted to the School, and if this is a registration form, your child will NOT be registered.