Fairfield Regional Schools Gala Day - 2016 - Registration

To register your interest in the 2016 Fairfield Regional Schools Gala Day being held on the Monday 28th November at Brenan Park Smithfield, please complete the following form. You will be asked to reconfirm your schools attendance the week prior to the event. Registrations close Friday 18th November 2016.

Name of School Attending: *
Name of Responsible Teacher: *
Email Address of Teacher: *
Contact Number of Teacher: *

Please indicate the number of teams that you are requesting to enter in each division. This is only indicative & will be confirmed prior the event. Teams are required to have a minimum of 8, a maximum of 12 players.
NOTE: You are welcome to enter more than one team in each division.

Year 7/8 Girls:
Year 7/8 Boys:
Year 7/8 Mixed:
Year 9/10 Girls:
Year 9/10 Boys:
Year 9/10 Mixed:
Year 11/12 Girls:
Year 11/12 Boys:
Year 11/12 Mixed:

Payments will be accepted on the day & will be calculated based on actual participation at the rate of $10 per person. Schools can also nominate to be invoiced following the event & pay via DD, Cheque or Credit Card.
Payment Method: Pay on the Day
Pay via Invoice

Address for Invoice (If required):

In the event of wet weather on Monday 28th November, the event will be rescheduled for the following Monday, 5th December. Is your school able to participate on the 5th of December?
Backup date participation: Yes

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A brief confirmation email will be sent to the email address supplied. If you do not receive this, please check your Junk Mail folder, or call 1800 466 090 if you hold any concerns.