Special Request Form

The Games will do its best to fulfil this request but can not guarantee it.
This form must be submitted before the GAMES ENTRY DEADLINE

Fields marked with * are required fields.

Organisation *
Sport *	--Please Select-- AFL 9s Badminton Basketball Beach Volleyball Cricket 8s Golf Karting Netball Poker Quiz Running Soccer 11s Soccer 6s Softball Swimming Table Tennis Tennis Tenpin Bowling Touch Volleyball
Event *	--Please Select-- Mixed Open Men Open --Please Select-- Singles Women Open Singles Men Open Singles Women 40+ Singles Men 40+ Doubles Mixed Open Doubles Women Open Doubles Men Open Doubles Team 40+ --Please Select-- Mixed Open Women Open Men Open --Please Select-- Mixed Open --Please Select-- Mixed Open Women Open Men Open --Please Select-- Women Open (Handicap) Men Open (Handicap) Women Open (Non Handicap) Men Open (Non Handicap) Corporate Team Open (Handicap) Corporate Team Open (Non Handicap) --Please Select-- Grand Prix Women Open Grand Prix Men Open --Please Select-- Mixed Open Women Open --Please Select-- Texas Holdem Open --Please Select-- Open --Please Select-- 5K Women -30 5K Men -30 5K Women 30-39 5K Men 30-39 5K Women 40-49 5K Men 40-49 5K Women 50-59 5K Men 50-59 5K Women 60+ 5K Men 60+ 10K Women -30 10K Men -30 10K Women 30-39 10K Men 30-39 10K Women 40-49 10K Men 40-49 10K Women 50+ 10K Men 50+ --Please Select-- Men Open --Please Select-- Mixed Open Women Open Men Open Men 30+ --Please Select-- Mixed Open --Please Select-- Open Water Women -30 Open Water Men -30 Open Water Women 30-39 Open Water Men 30-39 Open Water Women 40+ Open Water Men 40+ Open Water Team Relay Open --Please Select-- Singles Women Open Singles Men Open Singles Men 40+ Doubles Mixed Open Doubles Women Open Doubles Men Open --Please Select-- Singles Women Open Singles Men Open Singles Women -30 Singles Men -30 Singles Women 30-39 Singles Men 30-39 Singles Women 40+ Singles Men 40+ Doubles Women Open Doubles Men Open Doubles Men 40+ Doubles Mixed Open --Please Select-- Singles Women Open Singles Men Open Corporate Team Open --Please Select-- Mixed Open Men Open --Please Select-- Mixed Open
Team Name (if Applicable)
SPECIAL REQUEST DETAILS
Pool Play	I would prefer Pool Play on: Saturday    Sunday
Or briefly tell us what you require
AUTHORISATION
Authorisers Name *
Authorised by *	-- Please select -- Corporate Team Leader Team Captain Withdrawn Entrant
Authorisers Email *
Authorisers Phone/Mobile *	Numbers ONLY. No spaces or characters (like (), +, or - )
Authorised Date: *
	* I hereby authorise this special request