Charity Fundraiser | Cairns Indoor Sports

Ronald McDonald House Charity Day Fundraiser at Cairns Indoor Sports

Name*

First

Last

Email*

Phone*

Work Phone

Team Name: (or put in here "Single Player" if it is just you)*

What sport would you prefer to play:*

Beach Volleyball

Mixed Soccer

Mens Soccer

Walking Netball

So we can make sure you are playing against similar standard teams please select which best represents you*

Some team members have played before

We are all newbies

We are really just here to help a great cause and will make our way out of the bar to participate

Please list any of your team mates that are so far confirmed to play: (can be added to later)

Payment Options:*

Nominate your team - covers up to 6 players -Additional players are just $10 each

Nominate just yourself (it is just me!) but I want to play and help a great cause!

Total Amount:

Is there anything else we need to know?

Card number*

Expiration date

Month

Year

CVC*

Address line 1*

City*