Zain Africa Challenge National Qualifying Tournament Registration Form

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+ Season 2

National Qualifying Tournament Registration Form

The Liaison or Coach at each enrolled university must complete this form.

Deadline is Wednesday 28 October by 12:00.

For assistance please call +254 20 211 3203 or email annemarie@africachallenge.com.

Country:
University:
Name:
Title:
Email:
Mobile Phone:
Player 1:	Female Male	ID Number:	Mobile Phone:
First Name:			Year:
Middle Name:			Major:
Surname:
Email:
Player 2:	Female Male	ID Number:	Mobile Phone:
First Name:			Year:
Middle Name:			Major:
Surname:
Email:
Player 3:	Female Male	ID Number:	Mobile Phone:
First Name:			Year:
Middle Name:			Major:
Surname:
Email:
Player 4:	Female Male	ID Number:	Mobile Phone:
First Name:			Year:
Middle Name:			Major:
Surname:
Email:
Coach:	Female Male	ID Number:	Mobile Phone:
Salutation:	Dr. Mr. Mrs. Prof.
First Name:
Middle Name:
Surname:
Liaison:	Female Male	ID Number:	Mobile Phone:
Salutation:	Dr. Mr. Mrs. Prof.
First Name:
Middle Name:
Surname:
Attending:	Yes No
	By submitting this form you are certifying that the student players named above: All took the Student Tryout Test Are enrolled at the university full-time. Have never received any university degree. Did not participate in the ZAC International Championship in 2007 or 2008 (students are limited to one year of participation at the International level).
	All universities must bring their Student Tryout Tests and the official Student Eligibility Form to the Qualifying Tournament. Failure to bring those materials may result in a team being declared ineligible to compete.