2023 New Player Registration Form

Select Program *

Personal Information

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Date of Birth *

Are you of Aboriginal or Torres Strait Islander origin? *

No
Yes

Where you or either of your parents born in a country other than Australia? *

Yes
No

If yes, where?

I consent to my image being used for Sturt Football Club and SANFL publications. *

Yes
No

Employment Details Separate to Sturt Football Club

Job Title/Description

Employment Type *

Full Time
Part Time
Casual
N/A

Emergency Contact

Name *

First

Last

Phone *

Relationship *

Parent/Guardian Information

Used to contact family for special events, eg debut and milestones.

Parent/Guardian 1 *

First

Last

Email *

Phone *

Parent/Guardian 1 Occupation

Parent/Guardian 1 Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Parent/Guardian 2

First

Last

Email

Phone

Parent/Guardian 2 Occupation

Parent/Guardian 2 Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

2023 New Player Registration Form

Personal Information

Employment Details Separate to Sturt Football Club

Emergency Contact

Parent/Guardian Information

Basic Medical

Health Insurance

Finance

Football Information