I declare that I have the authority to make this declaration and accordingly on behalf of the team names on this form, I declare that the team will participate in all matches programmed for the duration of the season (including finals matches) and undertake to honour any fines that may be imposed as a result of this team withdrawing or causing a match to be forfeited or any other fines allocated by Lords' staff.
I undertake, on behalf of this team and its members, to abide by the Conditions of Registering a Team, as well as all Rules of our chosen sport as specified in the Competition By-Laws issued by Lords.
I acknowledge that the members of the team agree to indemnify the City of Subiaco against any and all claims however arising, as a result of our team's use of the services, facilities and equipment at Lords.
I confirm that the players named above have given consent to their names and details being provided by me to Lords and that I have informed them that they can access their personal information held by Lords in accordance with Lords' Access Policy.
Date: Tuesday, 21 May 2013
Which payment option would you like to take? (please see conditions of registering a team for more information).