North Island Championship 10th of August 2013 AUT Sport and Fitness Centre, Auckland Registration Form

Please complete the form and email to aucklandregionhandball@gmail.com by the 31st of July 2013. Team Name / Club : Division Entry (Men/Women) : Contact Person + Mobile : Email : Team Colours : Coach Name : Team Captain :
Nominate two Referees Each team must have at least 2 players who can referee other matches, please name below:

Ref # 1 (first and last name) Ref # 2 (first and last name) Registration Fee The fee for the tournament is $220 per team. Payment is required to be deposited into the account below before the 31st of July 2013. Account Name: Auckland Region Handball Incorporated Account Number: 12 - 3077 - 0792513 - 00
Players Names: 01. 02. 03. 04. 05. 06. 07. 08. 09. 10. 11. 12. 13. 14.

Bank: ASB Bank