2012 YOUTH WEEK PLAYER INFORMATION FORM

2012 YOUTH WEEK
PLAYER INFORMATION AND ENTRY FORM

Note that you do not need to have partners or teammates organised yet in order to enter.
If you have any questions, please contact Griff Ware.
✉ youthweek@abf.com.au or
☎ 0435 368 343

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Please fill out the whole form, then press the enter button at the bottom.

Information for ABF Youth Database:
1.	Name:
2.	Email address:
3.	Date of Birth:
4.	Sex:	MaleFemale
5.	ABF Number if available:
6.	Are you a full-time student:	Yes No
7.	Are you an Australian resident:	Yes No
8.	Do you wish to enter the Youth Pairs (14-15 Jan):	Yes No
9.	Partner for youth pairs if already organised:
10.	Do you wish to enter the Youth Teams (16-17 Jan):	Yes No
11.	Partner for youth teams if already organised:
12.	Teammates for youth teams if already organised:
13.	If you are eligible and qualify for the National Youth Squad Selection Butler, do you intend to play in the Butler (17-22 Jan; 9 pairs qualify from teams, 1 from 2011 Triathlon):	Yes No
14.	Do you wish to play in other events (18-20 Jan) if you are not playing in the Butler (if only wishing to play some of these days, list which days):	Yes No
15.	Allergies, including food allergies:
16.	Other food requirements (eg vegetarian):
17.	Travel arrangements to/from Canberra, if known (include flight/bus numbers and times etc):
18.	Any requests regarding accommodation (NB accom in 6-person multi-share 2-room units is provided as part of the package, 2-person twin share rooms available for $60 per room per night surcharge):
19.	Any other special requests:
20.	Any other personal information you think the organisers ought to know about (e.g. medical conditions):
21.	Address:
22.	Phone:
23.	Mobile:
24.	BBO login name (if any):
25.	School/Uni if applicable:
26.	When/how did you learn bridge:
27.	Home club (if any):

2012 YOUTH WEEK PLAYER INFORMATION AND ENTRY FORM

2012 YOUTH WEEK
PLAYER INFORMATION AND ENTRY FORM