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SUPER TOUCH RUGBY LEAGUE APPLICATION FORM

Starting date 03 Februarie 2010
*** WEST RAND LEAGUE - KRUGERSDORP -
ENTRY FORM MUST BE COMPLETED IN FULL
Team Name
Detail Organizer 2nd Contact
Name
Tel No (W)
Cell No
Fax No
E-mail - NB
ID Number
-Please note weekly fixture and communication is sent via email -
General Questions
1. Has your team participate in any touch rugby leagues before? YES No
2. Average fitness level of team members? Excellent Good Average Poor
3. Average Age 18-24 25-33 34 and Up

BY SUBMITTING THIS DOCUMENT:
I THE ORGANZER OF MY TEAM AGREE THAT ALL THE INFORMATION IS CORRECT AND I ACCEPT THE TERMS AND CONDITIONS SET OUT IN THE INFORMATION AND CONDITIONS OF ENTRY , I ALSO HEREBY ACCEPT FULL RESPONSILBILITY OF MY TEAM AND THEIR BEHAVIOUR AND ANY OUTSTANDING FEES OWN TO SUPER TOUCH RUGBY LEAGUE

FORMAT
The league runs over a period of 10 weeks, weeks 1(one) is a grading game al teams then play for 7 weeks agains one another, week 9 and 10 is semi finals and finals were only the top 4 teams of each division -Super / First / Second and Third dividion will then participate for the respective medals and prizes


Please return this information by fax 086 520 8403 OR EMAIL
Office (011) 956 6307 Cell 084 698 7514(Kobus)
The Full payment of a R2000.00 can be made to the following account
Nedbank Krugersdorp Branch Code 198-841
Account name: Super Touch Rugby
Cheque Account Nr: 1988412366

NB: USE TEAM NAME AS REFERENCE

Debit/Credit card machine available @ venue