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GLENROY FC MEMBERSHIP

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Registration Form

First Name		Last Name
Preferred Name (or Nickname)
Date of Birth (dd/mm/yyyy)		Gender (Please Enter)
Address
Mobile
Parents Name		Parents Mobile
Your E-mail: (If Parent or Guardian or Over 15)
Emergency Contact
Relationship		Emergency Contact Number
List any known injuries or illness and treatment plans
Senior Team		Junior Team
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EDFL REGISTRATION

Each Player needs to Register &/or Re-register with the EDFL & pay the league Player registration of $10.

Complete the club registration form below, then choose your membership option.

Choose & pay your membership option.

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GLENROY FC MEMBERSHIP

Club

Registration Form

Each Player needs to Register &/or Re-register with the EDFL & pay the league Player registration of $10.

Complete the club registration form below, then choose your membership option.

Choose & pay your membership option.

JOIN US TODAY

JOIN US TODAY

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Sewell Reserve, Glenroy, VIC. 3046.