Registration Form

2018 Tour Registration Form

Registration Details

Is the registration for: *

an individual player

a team

Is the player/team registration for: *

a boys team

a girls team

Please select age group *

u12

u14

Players are permitted to play in an older age group

Player Details

Player Name *

Date of Birth *

Country in which you reside *

Country

Preferred position *

Team Contact Details

Player Name *

Date of Birth *

Player Name *

Date of Birth *

Player Name *

Date of Birth *

Player Name *

Date of Birth *

Player Name *

Date of Birth *

Player Name *

Date of Birth *

Player Name *

Date of Birth *

Player Name *

Date of Birth *

Player Name

Date of Birth

Player Name

Date of Birth

Player Name

Date of Birth

Player Name

Date of Birth

Country in which the team resides *

Country

Player/Team Contact Details

Parent Name *

Parent Phone *

Please select country first, then enter your mobile number

Parent Email *

Donation of Goods

Do you have goods to donate? *

Items such as rugby jerseys, rugby shorts, boots, balls etc will be collected and distributed to children in Fiji.

Yes

No

Please provide details of goods you are able to donate

Please include approximate quantities

Travel Arrangements

Accommodation and Flights

For all flight & accommodation arrangements, please contact Jacqui Smith at ITS Travel

jacqui@itstravel.com.au | +61 2 9953 3533

Payment

Individual Player $50 | Team $500 (up to 12 players)

A member of the tour committee will call the player/team contact regarding payment details, once the submission is received.

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