2025

Your Name (required)

Your Surname (required)

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Message (required)

Your Name (required)

Your Surname (required)

Your Email (required)

Will you be able to play in this meeting? (required)
YesNo

If you selected "No" above - Do you require leave of absence? (*Compulsory)
YesNo

(Authorised leave of absence counts towards game playing commitment but not Nationals Qualification)
Reason for leave of absence:

Payment Option
EFT (reference to be your name & club we are playing at)Cheque / CashPrepaid (upfront)Not Applicable

Will you bring a visitor?
YesNo

If yes, please fill in the form below:
Visitors Name (required)

Club Name(required)

H/C (required)