Dubai Falcons Rugby Registration
2020/2021
Email address *
Member's Surname
Member's First Name
Member's Date of Birth
MM
/
DD
/
YYYY
Member's Address
Age Group
Is your child transferring from another UAE rugby club?
If yes, which club?
Gender
Nationality
School
Member's UAE ID. No.
Member's Passport No.
Does the member suffer from any medical conditions that we should know about?
If yes, please provide details of existing medical conditions
Permission to use image: I grant permission to Falcons to use the Member's image or likeness or voice for the promotion of Falcons including but not limited to photographs, live or recorded television, electronic transmission, video display, internet, radio or any other transmission or reproduction. All photos and videos and recordings are the sole property of the Falcons.
Primary Parent/Guardian's Full Name (The primary Parent/Guardian will be the initial contact we use for communication.)
Primary Contact Mobile Number
Primary Contact Email Address
Can the Primary Contact help?
Secondary Contact Parent/Guardian's Full Name
Secondary Contact Mobile Number
Secondary Contact Email Address
Can the Secondary Contact help?
I agree to abide by the terms and conditions of the Falcon's, UAE Rugby Federation and Dubai Equestrian and Polo Club COVID-19 protocols *
Required
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