Exit Wayne Madden Memorial Day 7 A-side Comp Wayne Madden Memorial Day Modified 7 a side Knock Out Comp Question Title * 1. Please nominate if you wish to play in the 7 A- side 2019 Memorial Competition day or just be a Spectator? Yes Volunteer Only (no payment required, however, please complete rest of form with N/A if applicable) All questions require an answer) Spectator Only (no payment required, however, please complete rest of form with N/A if applicable) All questions require an answer) Question Title * 2. What Age group are you ?Note - A player must be 16 yr before 1st July 2003 to participate on the day. 16 - 34 yrs old 35 + yrs old Question Title * 3. Gender Male Female Other Question Title * 4. You agree to pay $25 entry fee per person prior to the day. Preferred direct payment to the Club bank account, listing your full name as the reference. Bank details below and also on the flyer.BSB - 06 21 21Account Number - 1049 3517This amount will also allow you to have a bbq lunch. A ticket to obtain lunch will be provided on the day Yes No Question Title * 5. Although the day is sanctioned by BDSFA and FNSW, prior to you taking the field you agree that you do so at your own risk. Noting current registered players will be insured as it is a sanctioned event, however, non-current players may have to pay a nominal insurance fee in addition to the registration fee (TBC prior to the event ) Yes No Question Title * 6. Please nominate your emergency contact name and phone number Question Title * 7. Do you have any medical conditions that QH Tigers need to know about prior to you participating in the days activities. If so please nominate below. Question Title * 8. Please enter your Name below Question Title * 9. Please nominate if you are entering the Wayne Madden Memorial Day 7 A-side comp as an individual or as a team. Note teams should have the following criteria. Maximum of 10 players Minimum 2 players from the 16-35 yr age brackets Minimum 2 players from over 35 yr age bracket and Preferred Mixed Gender (Handicap rules will apply if teams not mixed genders or other criteria met) If a full team is being nominated, please list names and ages of players in the below field.*Note - each player of a pre - nominated team, still needs to complete this registration form individually as part of the process and to be able to participate in that team.If you are nominating as an individual then, please be aware that teams will be allocated by the organising committee prior to the day's activity and due to the guidelines mentioned above the teams will be final and no swapping can be allowed. Individual Team Other (please specify) Question Title * 10. Were you a registered player for 2019 season? If yes please detail below what your FFA number is. Yes - Registered Player in 2019 No - wished I could but was too old No - would rather just cheer the Mighty Tigers from sidelines FFA Number Done