Please copy and paste this form and return via email to CFNC General Manager Stuart Dunn at email@example.com
Entry, including fee must be received by Dec 31st 2011.
Name of Team:
City/Country Team Represents:
Team representative's Name + Contact Details:
Entry fee: $500 payable by cheque to Castlemaine Football and Netball Club, P.O Box 450, Castlemaine Vic 3450 or contact Stuart Dunn for Direct Deposit details.
Disclaimer: I hereby hold the Castlemaine Football and Netball Club and any associates involved in the organization of this championship clear from any claims that might result from players participating in the Castlemaine 9's Masters.
(It is highly recommended that all players have there own health insurance in case of medical emergency. If deemed necessary, medical care will be provided by accredited First Aid providers and Ambulance Victoria, the costs of which are the sole responsibility of the player involved.)
Team representative's Signature: (required to enter team)
I have read and agree to the disclaimer and will be responsible to ensure that all team members read and understand it. I hereby sign this form as a representative of all players from:
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