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Details
2026 Team Nomination
Tue 06 Oct 2026 09:00 - Wed 09 Dec 2026 21:00
Pioneer State High School
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Are you attending this event?
Yes
No
Maybe
Basic details
First name*
Last name*
Phone number*
Email address*
Address*
Additional information
Team Name*
Competition*
Please select...
Mens
Womens
Mixed Competitive
Mixed Social
Shirt Colour*
Sock Colour*
Contact Person*
Contact Email*
Contact Phone*
GK / Player 1*
Player 2*
Player 3*
Player 4*
Player 5*
Player 6*
Player 7
Player 8
Player 9
Player 10
Player 11
Player 12
I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*
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