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GLENROY FC MEMBERSHIP

Club 

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
AUSKICK
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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.

AUSKICK

JUNIOR GIRLS

JUNIOR BOYS

SENIOR WOMEN

SENIOR MEN

JOIN US TODAY

GLENROY FOOTBALL CLUB

(03) 9304 1215

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