Flying Kukris RFC Membership Form
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
1st Player's Preferred Name
(Given Name, Christian Name)
1st Player's Date of Birth
U6 - Born 1st Aug 2014 to 31 Dec2013
U7 - Born 1st Jan 2012 to 31 Dec 2012
U8 - Born 1st Jan 2011 to 31 Dec 2011
U9 - Born 1st Jan 2010 to 31 Dec 2010
U10 - Born 1st Jan 2009 to 31 Dec 2009
U9/U10 Girls - 1st Jan 2009 to 31st Dec 2010
U11 - Born 1st Jan 2008 to 31 Dec 2008
U12 - Born 1st Jan 2007 to 31 Dec 2007
U11/U12 Girls - 1st Jan 2007 to 31 Dec 2008
U14 Boys - Born 1st Jan 2005 to 31 Dec 2006
U16 Boys - Born 1st Jan 2003 to 31 Dec 2004
U19 Boys - 1st Jan 2000 to 31 Dec 2002
U14 Girls - Born 1st Jan 2005 to 31 Dec 2006
U16 Girls - Born 1st Jan 2003 to 31 Dec 2004
U19 Girls - 1st Jan 2000 to 31 Dec 2002
Any medical Concerns?
Please detail any medical information, allergies or injuries that the club should be aware of
Any more players to register
Click to select Yes or No
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