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Club Name *

Club Contact Name *

Email Address *

Confirm Email Address *

Number of 10-12 Open Pairs

10-12 Open

Please enter the names of the pair.

First Name - A *

Last Name - A *

First Name - B *

Last Name - B *

Number of 10-12 Female Pairs

10-12 Female

Please enter the names of the pair.

First Name - A *

Last Name - A *

First Name - B *

Last Name - B *

Number of 12-14 Open Pairs

12-14 Open

Please enter the names of the pair.

First Name - A *

Last Name - A *

First Name - B *

Last Name - B *

Number of 12-14 Female Pairs

12-14 Female

Please enter the names of the open pair.

First Name - A *

Last Name - A *

First Name - B *

Last Name - B *

Number of 15-17 Open Pairs

15-17 Open

Please enter the names of the open pair. They must not have had their 17^th birthday before 31^st December of the year of competition.

First Name - A *

Last Name - A *

First Name - B *

Last Name - B *

Number of 15-17 Female Pairs

15-17 Female

Please enter the names of the open pair. They must not have had their 17^th birthday before 31^st December of the year of competition.

First Name - A *

Last Name - A *

First Name - B *

Last Name - B *

Number of 17-19 Open Pairs

17-19 Open

Please enter the names of the open pair. They must not have had their 19^th birthday before 31^st December of the year of competition.

First Name - A *

Last Name - A

First Name - B *

Last Name - B

Number of 17-19 Female Pairs

17-19 Female

Please enter the names of the open pair. They must not have had their 19^th birthday before 31^st December of the year of competition.

First Name - A *

Last Name - A

First Name - B *

Last Name - B

Number of 19-29 Open Competitors

19-29 Open