Please complete all information in the below Seniors Summer 2022-23 Registration Form. Payment details will be emailed to you once your registration has been processed by the Club Registrar.
First Name:
Surname:
Date of Birth:
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JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember
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Gender:
MaleFemale
Mobile:
Email:
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.
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.
Would you like to use the Active Kids Voucher?: Please selectYesNo
The voucher number is:
Name:
I have read and agree with the Five Dock Falcons Seniors Terms and Conditions and Code of Conduct.
