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UNSW KILLER WHALES WATER POLO CLUB FEES - REGISTRATION FORM |
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Winter Comp 2009 |
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Winter 2009 |
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April - September |
New |
Renew |
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| UNSW STUDENTS |
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UNSW Pool |
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| Club Fee |
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$50.00 |
$50.00 |
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Home game entry |
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| Registration to NSW Waterpolo Inc. |
$122.75 |
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10 pass |
$ 34.00 |
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| Team Entry to NSW Waterpolo Inc |
$44.00 |
$44.00 |
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Single |
$ 4.00 |
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| Sport and recreation fee |
$50.00 |
$50.00 |
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| Entry to home games at UNSW pool |
$34.00 |
$34.00 |
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| Referees Fees |
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$45.00 |
$45.00 |
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Junior development |
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| Due |
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$345.75 |
$223.00 |
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8 to 12 year olds |
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7 week |
$ 75.00 |
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| Junior U14 & U16 Teams only |
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Per Term |
$ 150.00 |
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| Club Fee |
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$75.00 |
$75.00 |
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| Registration to NSW Waterpolo Inc. |
$55.10 |
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| Team Entry to NSW Waterpolo Inc |
$22.00 |
$22.00 |
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UNSW WPC |
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| Sport and recreation fee |
$50.00 |
$50.00 |
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Alumni |
$ 50.00 |
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| Entry to home games at UNSW pool |
$34.00 |
$34.00 |
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Staff |
$ 50.00 |
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| Referees Fees |
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$45.00 |
$45.00 |
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Assoc |
$ 50.00 |
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| Due |
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$281.10 |
$226.00 |
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Stud/Jnr |
$ 50.00 |
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Train on |
$ 150.00 |
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| Juniors in Open Grade Teams |
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| Club Fee |
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$75.00 |
$75.00 |
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NSWWPI (Sept) |
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| Registration to NSW Waterpolo Inc. |
$122.75 |
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Senior |
$ 122.75 |
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| Team Entry to NSW Waterpolo Inc |
$44.00 |
$44.00 |
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Junior |
$ 55.10 |
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| Sport and recreation fee |
$50.00 |
$50.00 |
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Junior + |
$ 122.75 |
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| Entry to home games at UNSW pool |
$34.00 |
$34.00 |
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School |
$ 15.65 |
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| Referees Fees |
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$45.00 |
$45.00 |
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| Due |
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$370.75 |
$248.00 |
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| Seniors in Open Grade Teams |
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| Club Fee |
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$75.00 |
$75.00 |
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| Registration to NSW Waterpolo Inc. |
$122.75 |
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| Team Entry to NSW Waterpolo Inc |
$44.00 |
$44.00 |
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| Sport and recreation fee |
$50.00 |
$50.00 |
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| Entry to home games at UNSW pool |
$34.00 |
$34.00 |
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| Referees Fees |
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$45.00 |
$45.00 |
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TOTAL DUE |
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| Due |
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$370.75 |
$248.00 |
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includes GST |
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| UNSW POOL ACCESS FOR METRO LEAGUE IS $4 PER GAME OR $34 FOR A 10 GAME PASS |
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| Direct Debit: |
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| Bank: ANZ |
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| BSB: 012 303 |
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| Account Number: 8370 69894 |
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| Agent ID/Job No: 100380 this is very important! MUST be put on Direct debits. |
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| Cheques payable to UNSW Water Polo Club |
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| Mailing address: C/ The Treasurer Peppi Kearney, 17 Sturt Street, Kingsford NSW 2032 |
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NOTE: Other training activities will be charged on a User Pay basis |
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CONTACT INFORMATION - You must fill this in - Please print Clearly |
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| Are you transfering from another Water Polo Club / Interstate / Internatonal ? Y/N |
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| Mr/Mrs/Miss |
Athlete First Name |
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Surname |
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| Address |
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Mobile |
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Suburb |
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Post Code |
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| Home Phone |
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Work Phone |
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| Have you played for UNSW previously? |
YES/NO |
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| Email Address - (this is the only way you will be issued with game times and news) |
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| Date of Birth dd/mm/yyyy |
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Male/Female |
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CLUB REGO No. |
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| U14s & U16s |
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UNSW Student No. |
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| Parents Names |
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Home Phone |
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Mobile |
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Home Phone |
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Mobile |
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