Vibe 3on3 Registration

Event Location

Which 3on3 event would you like to register for?*

School Name*

School Address*

Street Address Address Line 2 City State Post Code

School Phone*

School Fax

Contact Name*

First Last

Contact Email*

Enter Email Confirm Email

The registration confirmation email will be sent to this address.

Contact Mobile*

Contact Position

Teams Details*

Team Name	Team Gender	Team Category	Student 1 Full Name	Student 2 Full Name	Student 3 Full Name	Student 4 Full Name	Student 5 Full Name

Are you applying for the travel subsidy?*

You may be eligible for the $200 travel subsidy if you register 20 students or more.

A member of the Vibe 3on3 team will contact you regarding your subsidy enquiry

Phone

This field is for validation purposes and should be left unchanged.