Junior Winter Registration

PLAYER DETAILS

The action of submitting your completed membership form electronically on behalf
of your child/children takes the place of your signature.

First Name:*

Last Name:*

Date of Birth:*

Gender:*

Male

Female

Address:*

Street AddressSuburbPost Code

Mobile:*

E-mail:*

Parents/Guardian Name:*

DIVISION / POSITION PLAYED LAST SUMMER OR WINTER SEASON

Division:

Position:

Membership Required:

Junior Competition

Junior Playing Both Senior & Junior Competition's

Medical Conditions: Please let us know any relevant medical information:

PARENTS/GUARDIANS ARE REQUESTED TO READ AND ANSWER BELOW

Please note: All competition junior members' parents are required to plan ahead for
their child/children to be available to play in the event their team make the finals.

I am able to assist with supervision of my child's team:

I approve a member of the Junior Committee transporting my child if a Parent/Guardian is not available:

I approve the publishing of images of my child on the STC website, Facebook, Instagram or suitable promotional material:

Enter the verification code:

Junior Winter Registration

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