Youths\Juniors\Minis Playing Member Registration

Please fill in much information as possible. Note: If you have already entered a child into the sytem then please add a new child via the members area. * Denotes required field
Childs Details
Child First Name: *
Child Surname: *
Nickname
Gender:	Male Female
Email (this must be entered otherwise child will not get access to the members area, can be parent/guadian email):
Mobile (if available):
Home Telephone:
DOB (dd/mm/yyyy):*

Parents/Guardians
Please note: At least one parent/guardian is required for access to members area.
First Parent/Guardian
Relationship
First Name:
Surname
Mobile:
Telephone:
Email: (leave empty if same as above)

Second Parent/Guardian
Relationship
First Name:
Surname:
Mobile:
Telephone:
Email:(leave empty if same as above)

Address Information
Address:


City:
Postcode:

Mailings
News Announcements:
Playing Announcements: