Name
.........................................................
Address
...
...........
Post code
...
Telephone
..E-mail
Date of Birth
..
Boy Girl (circle), Tournament
entered 1 or 2 (circle)
Age group entered (circle) U18 U16 U14 U12 U10 U 8
Tournament 1 Early
bird entry fee $35...............
If paid by Friday June 20
Full entry fee $45 .........................
Tournament 2 Early bird entry fee $45...............
If paid by Friday June 20
Full entry fee $55 .........................
Tick the fee applicable
and attach the required amount
Signature of the entrant
.
Pay by cheque or cash
Post entry with
appropriate fee to 08 Vic Junior Championships c/o
6 Andrew Street Forest Hill 3131 |
