Player Registration

New Zealand Fistball Association 2017 Player Membership

Player Details - Please Complete All Fields

Choose Any *

Mr Mrs Miss Ms

* Indicates required field

Name *

First

Last

Email *

Address *

Mobile Phone *

DoB *

Nationality *

Team

Team Representing *

Or *

- Unknown

Emergency Contact

Name *

Phone *

Medical

Please list any medical conditions you have that might affect participation. *

Member Acknowledgement

I hereby agree to abide by the policies, procedures, and rules of the New Zealand Fistball Association: *

- I agree

Date *

Details of Parent/Guardian if Prospective Member is under 16 years of age: *

Membership fees are $50pp and must be paid at the beginning of the season.

Fees can be paid to the account below:
12-3148-0264399-00

Please insert your name as the reference.

Submit