Session 2010 Details
I Would like to play for:
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AFL Auskick (6 to 9 years)
AFL Junior Competition (9 to under 13 years)
I am a:
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New Player
Returning Player
Player Details
First Name:
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Preferred Name:
Middle Name:
Family Name:
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Date of Birth:
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Country of Birth:
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Gender:
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Male
Female
Medical Conditions:
School Name:
School Suburb:
Contact Details
Address:
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State:
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Post Code:
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Phone (home):
Phone (work):
Phone (mobile):
E-Mail:
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Parent / Guardian Details
First Name:
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Family Name:
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Country of Birth:
Phone:
E-Mail:
I am interested in assiting in the following ways:
Coaching
Administration
First Aid
General Helper
Umpiring
Emergency Contact Details
Enter details for a second parent/guardian or an emergency contact.
First Name:
*
Family Name:
*
Country of Birth:
Phone:
E-Mail:
AFL Support Information
I support the:
I am an AFL member of the club I support
Match Attendance:
I watch AFL on TV:
Never
At least once a week
Every 2 or 3 weeks
Terms and Conditions
Applicant (Player)
I agree to abide by the 'Competition Rules and Bylaws' of AFL Cairns Juniors.
I will observe and obey these rules and bylaws and be bound by all rulings made by or with the authority of the Association that relate or apply to me.
I declare that the information supplied by me is true and correct.
Parent/Guardian
I/We hereby consent to this registration to participate in Auskick or play AFL.
I/We acknowledge that I/we have been provided with, and understand, the 'Code of Conduct' of AFL Cairns Junior.
I/We hereby agree to abide by the code; and observe and obey this code and all rulings made by the Association that relate to me/us, other
family members and invited guests.
I/We agree that images of my/our child may appear on the North Cairns Australian Football & Sporting Club website and in the Club News Letter.
I/We understand that the Association may withdraw or suspend my child's registration to participate in Auskick or play AFL should I/we fail to comply with the code and/or rulings of the Association should I/we breach the code.
I/We agree that should any injury occur, the Auskick Centre or club will, at all times, endeavour to notify me/us but, should an emergency exist, I/we grant the centre or club (or an official) the authority to seek an ambulance and/or medical attention.
I agree to the Player Terms and Conditions *
I agree to the Parent/Guardian Terms and Conditions *
