Athletes Registration

Personal Information

First Name *

Last Name *

Gender *
MaleFemale

Email *

Date of Birth *

Phone Number *

Jamatkhana Centre (Most Commonly attended) *
Auckland, New Zealand

Emergency Contact

Sports Information

Select Indoor Sport
—Please choose an option—SoccerNetballCricket

Level of Proficiency
—Please choose an option—BeginnerIntermediateProfessional

Is there a particular position you play in this sport? (Please note: We can't guarantee you a position, this will just guide us in forming teams evenly).

Interested in playing a second sport on the day? We can't guarantee this due to potential scheduling issues but we'll give it a go and be in touch with you when we've closed registrations. Please note: Additional $5 fee applies for additional sport.
YesNo

Are you opt for warmup game?
*Additional warm game fee $5
*We can't guarantee this due to potential scheduling issues but we'll give it a go and be in touch with you when we've closed registrations.
YesNo

Health Information

Do you have Health Insurance/Medicare? *
YesNoPrefer not to say

Do you have any allergies? *
YesNo

Do you have any dietary requirements? *
YesNo

Do you have any existing medical conditions? *
YesNo

Please check the information below. If everything looks correct, press submit.

I understand that this registration will only be confirmed once payment is made at Jamat khana by DATE TO BE CONFIRMED. The registration fees are as follows:

Adult Athletes Fees (18+)

$20 per person

Junior Athlete Fees (>12 but <18)

$15 per person