Please complete all information in the below Seniors Winter 2025 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.
