2012 Winter Registration - Fees

All girls/ladies fees are $320
M3/U16/U14 fees are $320
Head Coach levy $160 (applicable for those playing in a side coached by Scott/Miro)
M4/5 fees are $170

NSWWPI Registration fee payable for players who did not play Summer 2011/12 in NSW:
Ladies, M3 -$40
Girls, M U16/14 - $20
M4/5 - $115

For any enquiries, please email breakers.registrar@gmail.com



Player Registration - Info
First Name *
Last Name *
Street
Suburb
Postcode
Phone
Mobile
Email *
Date Of Birth
Gender
Mothers Name Junior's Only
Fathers Name Juniors Only
New player
Team Last Played In
Club Last Played In If not SNB
Refereeing
Volunteers are required to help run the club. Please select where you would like to contribute to the club. *
Trade - See above
Code Of Conduct *
Registration Type
Payment Method


After submitting this form, you will be transferred to the payment page.
Please note that registration will not be finalised until payment confirmed.
You will receive an emailing confirming your registration, once your payment is processed.