Little Roarers Membership
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Cub Station - engaging junior supporters of Brisbane Roar FC
Family Name of Parent/Guardian
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Given Name of Parent/Guardian
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Mobile Number
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House Number and Street Name
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Suburb
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Postcode
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If you are a member of a football club which club?
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Full Name of First Child Registered
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Date Of Birth of First Child - DD/MM/YYYY
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Full Name of Second Child Registered
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Date Of Birth of Second Child - DD/MM/YYYY
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Full Name of Third Child Registered
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Date Of Birth of Third Child - DD/MM/YYYY
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Thank you for joining Cub Station a division of the Roar Supporters Federation.
RSF Cub Station Committee
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