Junior Registration Form

1.Members Name (First / Last )(Required.)
2.Address ( Number / Street / Suburb / Postcode)(Required.)
3.Date of Birth (DD/MM/YYYY)(Required.)
4.Guardian Name & Relationship (First / Last / Relationship)(Required.)
5.Guarding Contact Number(Required.)
6.Guardian Email(Required.)
7.Does the member suffer from any medical conditions we need to know about?(Required.)
8.In the unlikely event medical attention is required do you agree for us to admitted appropriate treatment?(Required.)
9.Age group / Competition (Must be under this age as at August 31, 2025)(Required.)
10.Club Policies / Requests(Required.)