SteelDome Gladi8tors 2
Registration Form
   
Full name *  
Date of Birth  
Address  
Mobile  
Phone  
Work  
Phone  
Email *  
Next of Kin  
Their relationship to you
  
Emergency phone number  
Your height  
Weight  
Which club do you currently belong to?  
What position/ s do you play?  
Have you played Representative level?  
How many years player or coach experience do you have?  
Which Steeldome Club will you try out for. Please choose one*    
    Surge -North East  
    Rage - West Auckland  
    Sabors - South Auckland  
    Comets - South Auckland  
    Raptors -Waikato & Manurewa  
    Venom - Central Auckland  
Did you play SteelDome Gladi8tors 2009, which team & number