2015 SuperLeague Application Form
Complete all required fields below to apply.
Entries close Sun 22nd February 2015. No exceptions.
Your Preferred League
Region
required
select...
Auckland North
Auckland South
Waikato
Manawatu
Wellington
Tasman
Canterbury
Otago
Select the tier(s) you'd like to apply for.
NB. Your preferred tier will be the highest one you select.
Select the tier(s) you'd like to apply for.
NB. Your preferred tier will be the highest one you select.
Tier 1
Tier 2
Tier 3
Your Contact Details
Name
required
Email Address
required
Mobile Phone
required
Home Address
required
A Little Bit About You
Date of Birth
month
January
February
March
April
May
June
July
August
September
October
November
December
Occupation
Describe yourself
- what your mates might say about you
Tell us something interesting about yourself
- that people might not already know
Tell us a funny story about you or a friend
- does not have to be cue sport related
Your achievement(s)
- please don't limit to cue sports only
Other interests & hobbies
Please include a recent photo of yourself
Submit
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