I am a substitute for ...

Name:

Team Number:

who will not be competing.

My details are ....

Surname:

First name:

Address:

Town / State / Postcode

email

Primary Phone:

Alternate Phone:

Birth Date:

Gender:

Novice: (yes / no)

My current details are ....

Team Number:

Date of Birth:

Name:

Gender:

I wish to transfer to Team Number:

I wish to form a new team with these people ...

Name:

Team Number:

Name:

Team Number: