REGISTRATION FORM

Team
Team Name Sport Contact person Position Contact number Email address ID type ID number : _______________________________ : Futsal / Badminton : _______________________________ : Manager / Coach / Captain / Player : _______________________________ : _______________________________ : Student ID / Passport / Drivers Licence : _______________________________
[If you participated in last years event (Mini Olympic 2010) please write your team name last year: ____________________]

[Please provide a photocopy of student ID or drivers licence or passport to the Mini Olympic committee by either emailing it to email address on our website or bringing it to the Technical Meeting]

Team members
Name Jersey number ID type ID number

Declaration: I hereby declare that, as the representative of the team, the information provided above is all correct. The members listed above will represent my team for the length of the competition. No extra player will be added. Our team understands that any infringement to the regulation procedure may result in the disqualification of the team.

Manager/Captain: _____________

Date: _____________