School Registration 2023

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Name of School: *

Address *

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School's Telephone No. *

Principal’s Name: *

Principal’s Tel.: *

Email *

Principal’s Email: *

School Rep #1

School Representative #1: *

School Representative Email: *

School Representative #1 Telephone: *

School Rep #2

School Representative #2: *

School Representative #2 Email: *

School Representative #2 Telephone: *

Boys

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

Girls

Boys (Please Check) (copy)

Specify Colours: Jersey | Pants | Socks (copy)

Example: Premiership: Yellow | Blue | White

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Signature

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File Upload

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Upload School Stamp

Level 2 Ato Boldon Stadium
Balmain
Couva