Seniors Summer 2018-19 Registration Form

Please complete all information in the below Seniors Summer 2018-19 Registration Form. Payment details will be emailed to you once your registration has been processed by the Club Registrar.

Player Details

First Name:
Surname:
Date of Birth:

Gender:

MaleFemale

Contact Details

Mobile:
Email:

Address Details

Playing History

Have you played baseball at adult level?: YesNo
If you have any special requests in relation to team preference please state along with your reason. (Leave blank if you have no special request.)

PLEASE NOTE: The Falcons will endeavour to fulfill requests but cannot guarantee to do so as our priority is the creation of well balanced, competitive teams.

Personal

Occupation:
Registering for discount: Full-time studentUnemployedPensioner
Name of school or other educational institution if registering as a full-time student:

PLEASE NOTE: Proof of student / unemployed / pensioner status may be required to enable discount.

Emergency Contact

Name:
Mobile:

I have read and agree with the Five Dock Falcons Juniors Terms and Conditions and Code of Conduct.