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Hornsby-Berowra Eagles Junior AFL Club

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Register Online

Hornsby Berowra Eagles Online Registration

Use this form to register online to play Auskick and Junior AFL with the Hornsby Berowa Eagles.

Fees

Auskick $100 or junior competition $140.

You can pay your fees:

In person at our registration days (30/01/2010 at Hornsby WestField or 6/02/2010 and 13/02/2010 at Rofe Park), or
Send a Cheque made out to Hornsby Berowra Junior AFL Club. PO Box 3008 Asquith NSW 2078.

Required *

Session 2010 details

I would like to play * AFL Auskick AFL junior competition ## Select what you would like to play. Auskick ages 6 to 9 years or junior competition from under 9 to under 13 years.

## Select what you would like to play. Auskick ages 6 to 9 years or junior competition from under 9 to under 13 years.

You haven't entered your choice of Auskick or junior competition.

I am a * New player Returning player ## Select new or returning player.

You didn't tell us if you are an new or returninig player. Please select either new or retuning player.

Player details

First name * ## Enter your first or given name here.

## Enter your first or given name here.

You haven't told us your first name. Please enter your first name.

Preffered name ## If you prefferd to be called by a name other than your first or given name eneter it here else leve it blank.

Middle name ## If you you have a middle name eneter it here else leve it blank.

Family name * ## Enter your family name here.

You haven't told us your family name. Please enter your family name.

Date of brith * ## Tell us when you where born. Enter your birth date in DD/MM/YYYY format.

You haven't told us your date of birth. Please enter your birth date in DD/MM/YYYY format.

Country of birth *

Field not valid (required or bad value)

Gender * Male Female ## Tell us if you are a boy or a girl. Select male or female.

You haven't told us if you are a boy or a girl. Please select male or female.

Medical conditions ## Tell us if you have any mdeical conditions that we should know about.

School name

School suburb

Contact details

Address *

You haven't told us your street address. Please enter your address.

State *

You haven't selected your state. Please select the state you live in.

Post code *

You haven't entered your post code. Post codes must be four digits long.

Phone (home)

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Phone (work)

Field not valid (required or bad value)

Phone (mobile)

Field not valid (required or bad value)

Email ## Tell us your email address. We need this if you wnat to get updates from the club and the AFL.

Field not valid (required or bad value)

Parent/Guardian details

First name *

You haven't told us your first name. Please enter your first name.

Family name *

You haven't told us your family name. Please enter your family name.

Country of birth

Phone

Email

I am interested in assiting the 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

Email

AFL Supporter Information

I support the

I am a AFL member ## Tell us if you are a memebr of the AFL club you support.

Match attendance ## Tell us how many AFL matches on average do you attend each year.

I watch AFL on TV Never At least once a week Every 2 or 3 weeks

How did you find out about participating in Auskick or playing junior AFL in your local area?

Friends name ## If you selected friend above please tell us your friends name.

Terms & conditions

Applicant (Player)
I agree to abide by the 'Competition Rules and Bylaws' of AFL Greater Sydney Juniors Incorporated.
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 Greater Sydney Juniors Incorporated'.
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 AFL Greater Sydney Juniors website however such images may not be identified
by name.
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 * ## Clicking this check box signfies that you have read and agree with the player terms above.

## Clicking this check box signfies that you have read and agree with the player terms above.

You haven't told us that you agree to the player terms. To register you are required to agree to the player terms and conditions.

I agree to the parent/guardian terms * ## Clicking this check box signfies that you have read and agree with the parent/guardian terms above.

You haven't told us that you agree to the parent/guardian terms. To register you are required to agree to the parent/guardian terms and conditions.

I am happy to get updates * ## Clicking this check box signfies that you are happy to recieve communications from Hornsby Berowra Eagles Junior AFL Club, the AFL and AFL affiliates.

You haven't told us that you are happy to receive communications from us. Check this box if you want to keep up to date with events and new from the Hornsby Berowra Eagles.

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