Junior Summer 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:*
Address:*
Mobile:*
E-mail:*
Parents/Guardian Name:*

DIVISION / POSITION PLAYED LAST SUMMER SEASON

Division:
Position:
Membership Required:
I would like to take up the discounted membership fees including a subsidised centenary club t-shirt. ***Special Family Fee & Orange Ball please refer to Membership Fees page.*
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 acknowledge that I have read and understood the Code of Conduct and agree to comply with this policy.*
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:
I'm not a robot. Please enter the verification code: