ALL SECTIONS OPEN FOR REGISTRATION

Date: 9 June 2018

Banking details:
Drake Dragons ● Capitec Bank ● Account Number: 1567 6597 89 ● Branch Code: 470010
Proof of payment: Please send to Christian Maxwell at christianpaulmaxwell@yahoo.com

Please answer all the questions & complete one form per player.
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Event *
Section *
Please select the relevant playing section.
First Name(s) *
Surname *
Gender *
Residential Area *
In which area or suburb do you live? eg Rondebosch? Parow? Grassy Park? Athlone? Stellenbosch?
E-Mail Address *
Cell Phone Number *
Do not type hyphens or spaces.
Landline
Do not type hyphens or spaces.
Date of Birth *
MM
/
DD
/
YYYY
Chessa Number
If you have a Chessa number and know what it is, enter it under "Other".
Clear selection
Current School or Tertiary Education *
Enter the name of your current school or university under "Other" below.
Payment *
Player Specific Payment Ref # Used or To Be Used *
Please use the player's first 3 letters of the player’s surname + initials, followed by date of birth in the format of DD MMM YYYY, as the reference number. (e.g.  SmiJ23Jan1973  or KasG17Nov2001)
Payment Amount Paid or To Be Paid *
Please do NOT type R for Rands • Simply type the number
Payment Description
Please take a moment to describe what payment was made for (in words), which will help us identify deposits.
Comments
Please indicate if you will be absent for any rounds • Also indicate anything further which you feel we should know about, including disabilities.
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