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Online Registration
 
Step One - Players Details

Players Details: (first time registrations will need proof of age - birth certificate, passport, licence etc.)

First Name:

Family Name:

Date of Birth:

     
2010 Age Group:

Gender:
Insurance Category:

Address:

Suburb:

Postcode:

Phone:

Mobile:

Email:


A current e-mail address is required for communicating upcoming events.

School:

Competition:
(Select One)
Players in the Under 6 to Under 8 Age Groups have the opportunity to nominate two players (or Coach/Manager) with whom they would like to play. However, the Club reserves the right to place players to balance and/or fill teams as required.
 
Players comments/request below:
 
Please note: All efforts are made to accommodate children with friends, however Putney Rangers F.C. reserves the right to limit team numbers and sizes in the best interests of a fair go for all. As you are aware, this may be a difficult task and we conduct this selection process without fear or favour to the best of our abilities.

Playing Details Last Season (If Applicable)
 
Club: Age: Division:

Contact Details for Parent/Guardian (Players Under 18 only)
 
First Name:
Family Name:

Phone:

Mobile:

Email:
First Name:
Family Name:

Phone:

Mobile:

Email:

Team Support

Our Club perates on a voluntary basis, we need your support to field teams each season. Please indicate below if you are willing to assist in either of the roles noted.

Coach Name:

  

Phone:

  

Email:

Manager Name:

Phone:

Email:

Indemnity
I have no objections to my / my child's photo being taken or my / my child's image being used in a video clip. I read, agree and will abide by the Club's Privacy Policy.
I / My child hereby agrees to play soccer with Putney Rangers Football Club Inc and abide by the rules of the Club's constitution and the relevant Association's Codes of Conduct.

I release the Club from any responsibility for any injury or loss whilst I am / my child is involved with any activity of the Club. I understand that the Club carries only minimal player's insurance and that it is my responsibility to arrange adequate insurance coverage.
 
Please Note: Incorrect Registration Cannot Be Accepted –
You must provide correct details on the Registration Form above.
Please check that your details are complete and correct and click on the button when ready.
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