Step 1 - Select venue | Step 2 - Team details | Step 3 - Player details | Step 4 - Choose payment method

Fields with a red asterisk (*) are mandatory.

Team Details
Team Name :
Which league do you want to register for?

Sport: Dodgeball
Category: Mixed
Registration fee: 700.00
Tuesday night mixed social league commencing Tuesday 6th June 2017 at Fairfield Youth and Community Centre. 12 week season duration.


When: Registration closes May 30th, Round 1 is June 6th.
Where: Fairfield Youth and Community Centre, Vine St Fairfield
How: Register online with a team, or email if you are an individual.
Costs: $700 per team match fees, plus individual insurance fee of $15 per returning player, and $30 per new player.

All skills and fitness levels welcome! No team? No worries! Email and we'll put you in a team!
Days: Tuesday
Personal Details
First Name :
Last Name :
Gender :
DOB : (dd/mm/yyyy)
Email Address :
Password :
Confirm Password :
Mobile Phone : (Numbers only)
Home Phone :
Work Phone :
Address Line 1 :
Address Line 2 :
Postcode :