Registration // South Coast Buccaneers

Register for Bali Buccaneers 2026

Please fill out the registration form then select your merchandise and make payment before 31 March 2026.

For any inquiries please contact via email southcoastbuccaneers@outlook.com.au,
or via mobile to either Bluey on 0412 427 321 or Goochy on 0436 523 475.

Registration Type

I want to register and buy merchandise

I want to buy merchandise only

Personal Information

Name *

Nick Name *

Email *

Phone *

Address

Address Line 1

Address Line 2

Suburb

State

Postcode

Family Information

Wife / Partner Name

Kids Name/s

Team Information

Team

Preferred Playing Jumper Number

Registration Fee: $220

Important Information

A registration fee of $220 is required; This covers player / team entry in the Bali Masters tournament, playing socks and a mystery gift. It also pays for the kids from the orphanage to attend our Family Day at the waterpark, and any monies left over will be used to pay for / subsidise meals and some drinks at our Presentation Day event.

REGISTRATION FORM