2004 Gold Coast Youth Individual
ENTRY FORM

NAME
Date of Birth
ABF number (if appropriate)  
Email address

I wish to play in :
Both Sessions AM Only* PM Only*

* Priority will be given to players who can play both sessions. Entries will most likely be cut-off where numbers represent complete tables (multiples of 4)

By submitting this form, you agree to abide by the rules and conditions of contest as laid down by the convener.

If you have any questions, please email Larry Moses at larrym1@bigpond.com.au .

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