Please complete all information below. On submission, you will be directed to the GameDay website to complete your registration and payment.
First Name 1:
Surname 1:
Date of Birth 1:
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Gender 1: MaleFemale
First Name 2:
Surname 2:
Date of Birth 2:
Gender 2: MaleFemale
First Name 3:
Surname 3:
Date of Birth 3:
Gender 3: MaleFemale
Parent/Guardian's Name:
Relationship to Player:
Phone:
Email:
Would you like to use the Active Kids Voucher?: Please selectYesNo
The voucher number is:
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 that meet RHBL guidelines.
I have read and agree with the Five Dock Falcons Juniors Terms and Conditions and Code of Conduct.