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Player Registration

2018/2019 Season Registration

Player Name *

Membership Type *

Player

Coach

Manager

Scorer

Non Playing Member

Gender *

Male

Female

Date of Birth

Home Address *

Email *

Phone *

Parent/Guardian Name (if player is under 18)

Relationship to Player

Parent/Guardian Phone

Parent/Guardian Email

Are you are returning member? *

If you are a returning member, which team were you registered with?

Have you played for another club in the last 5 years *

No

Yes - you will need to complete a transfer form and pay the appropriate fee

What age group are you registering for? *

U6 TBall

U8 TBall

U10 Rookie Ball

U11 Mixed

U12 Boys

U12 Girls

U13

U15

U17

U19

Social Men

Social Women

Reserve Men

Reserve Women

Premier Men

Premier Women

How did you hear about our club?

I agree that the information supplied above is correct to the best of my knowledge.

I agree to abide by the Club's terms of registration and code of conduct

I would like to register to be a volunteer at the club from time to time

If you are human, leave this field blank.

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