School Registration 2023

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Name of School: *

Address *

School's Telephone No. *

Principal’s Name: *

Principal’s Tel.: *

Email *

Principal’s Email: *

School Representative #1: *

School Representative Email: *

School Representative #1 Telephone: *

School Representative #2: *

School Representative #2 Email: *

School Representative #2 Telephone: *

Boys (Please Check)

Premiership (Born on or after 1st January 2003)
Championship (Born on or after 1st January 2003)
Seniors (Born on or after 1st January 2003)
Juniors (Born on or after 1st January 2007)
Giants (Born on or after 1st January 2009)
Form 1/13 & under (Born on or after 1st January 2010)

Specify Colours: Jersey | Pants | Socks

Example: Premiership: Yellow | Blue | White

Boys (Please Check) (copy)

Specify Colours: Jersey | Pants | Socks (copy)

Example: Premiership: Yellow | Blue | White

Signature

Clear Signature

File Upload

Click or drag a file to this area to upload.

Upload School Stamp

Level 2 Ato Boldon Stadium
Balmain
Couva