NUNAWADING LITTLE ATHLETICS CENTRE

CROSS COUNTRY SEASON REGISTRATION FORM

Athletes:

Age group

Reg Number

First name

Last name

Club

PARENT NAME ...........................................

TELEPHONE .…...........................……

ADDRESS...................................................................................................................................

....................................................................................................................................................

Email: ………………………………………………………………………………………..

I acknowledge that I will be available to perform my rostered duties as necessary.

PARENT SIGNATURE............................................…………… Date: …………………

Please note:

New registrations will also have to complete the VLAA registration form.