Northern Beaches Floorball Open 2016: Registration Form

Registration Closes 04 Sept 2016

The Magic Happens 01-03 Oct 2016

Club Contact Information: *Please complete form electronically

Club Name
Name of Club Contact
Club Contacts Email
Club Contacts Mobile
*Individual team manager details will be collected with the team lists

Registration Options:

Category
Under 9s
Under 12s
Under 15s
Development
Womens
Mens
Interstate discount

Team Cost (AUD)

$275
$275
$350
$460
$460
$480

Number of Teams

Total

Max 1 per club

$50

Overseas discount

Max 1 per club

$100

Total

Payment:
Please pay the registration fees to the account below before submitting the registration form.
Registration will be confirmed with the receipt of payment.

Account Name
BSB
Account
Reference (your clubs name/NBO)
Amount Paid (AUD)
Date Paid

Northern Beaches Floorball Club

032099
370824

Important Dates:
Registration Closes
Player Exemptions Close
Team Lists Due
NBO

04 September 2016
11 September 2016
18 September 2016
01-03 October 2016

Submission:
Email completed registration forms after registration payments have been made to:
scott_michael_collins@hotmail.com

Social Dinner: Yes

No

(Tickets will be on sale with Team Lists)

NBO, to celebrate its 10th year will host a social, informal dinner and drinks on the
Saturday night. Interested people can then kick on afterwards. Would your club be
interested in attending? More details to follow.