AUSTRALIAN CONVICTS REGISTRATION FORM To register your interest to join us in South Africa for this amazing experience, please fill out the form below. Your Name (required) Your Email (required) State (required) —Please choose an option—ACTNSWNTQLDSATASVICWA Postcode (required) Phone Number (required) I am applying as a (required) —Please choose an option—PlayerCoachTeam ManagerUmpireSupporter Jumper Size (required) —Please choose an option—XSSMLXLXXLXXXL Jumper Number (required) Shirt Size (required) —Please choose an option—XSSMLXLXXLXXXL Shorts Size (required) —Please choose an option—XSSMLXLXXLXXXL