Personal Information
First Name *
Last Name *
Gender * MaleFemale
Email *
Date of Birth *
Phone Number *
Jamatkhana Centre * Sydney (NSW and ACT), Australia
Emergency Contact
Relationship
Add Another Contact Person Remove
Sports Information
Sport (Pick one): —Please choose an option—PickleballBadminton
Preferred Play Format: * SinglesDoublesMixed Doubles
Double Partner Name:
Mixed Doubles Partner Name:
Current player status/experience: * IntermediateAdvancedExpert
Do you play pickleball or badminton professionally? * YesNo
If yes, please specify details (Club, etc.):
Health Information
Do you have Health Insurance? * YesNoPrefer not to say
Please provide name of your Health Insurer *
Health Insurance Number *
Do you have any allergies? * YesNo
Please provide more details *
Do you have any dietary requirements? * YesNo
Do you have any existing medical conditions? * YesNo
Payment Received YesNo Payment Amount National Payment Received YesNo
Consent
18-Registration-Forms-Consent I accept the terms and conditions
U18-Consent Under 18 Participant - I accept the terms and conditions.
Summary
Please review the information below. If everything looks correct, press submit.
Payment
I understand that this registration will only be confirmed once payment is made at the Jamat Khana by Saturday, 24th August 2024. The registration fees are as follows: Adult Athletes Fees (18+):$30 per person Junior Athlete Fees (>11 but <18):$15 per person Kids under 10:$5 per person
Previous stepNext step