Flying Kukris RFC Membership Form
Email address *
Are you a new member?
Even if you are a returning member, you are requested to complete all questions so we can update our records
1st Player's Surname *
(Family Name)
Your answer
1st Player's Preferred Name *
(Given Name, Christian Name)
Your answer
1st Player's Date of Birth *
MM
/
DD
/
YYYY
Sex *
Age Group
School Attended?
Your answer
Any medical Concerns?
Please detail any medical information, allergies or injuries that the club should be aware of
Your answer
Any more players to register
Click to select Yes or No
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