Northside Christian Football Club Inc. 2019 Membership & Registration Application Form
Email address *
Details
BFQ Incorporated (BFQ) competition - Age group *
Title *
First Name *
Your answer
Family Name *
Your answer
Date of Birth (Day, Month, Year) *
MM
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DD
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YYYY
Mobile Phone Number *
Your answer
Residential Address
Number & Street *
Your answer
Suburb *
Your answer
State *
Post Code *
Your answer
Emergency Contact
First Name *
Your answer
Family Name *
Your answer
Mobile Phone No *
Your answer
Other Information
"Play with" or other Special Requests
Your answer
Preferred playing positions
How did you find out about our club?
Church (Optional)
Terms and Conditions
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Required
*
Required
*
Required
Signature
First Name *
Your answer
Family Name *
Your answer
Date Signed (Day, Month, Year) *
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DD
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YYYY
*
Required
Signature (Player's Parent / Guardian / Carer ) - Only required if the player is less than eighteen (18) years of age.
First Name
Your answer
Family Name
Your answer
Date Signed (Day, Month, Year)
MM
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DD
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YYYY
Privacy Statement
The information you provide to Northside Christian Football Club Inc. (NCFC) will only be used for the administration of the club and will not be provided to any other party except in the ordinary operation of the club, i.e., compliance with the Constitutions, Rules, Regulations and By-Laws of Northside Christian Football Club Inc. (NCFC) and BFQ Incorporated (BFQ); Insurance; other lawful purposes; or as required by law.
Club Details
Northside Christian Football Club Inc.
ABN: 35 829 853 315
Darien Street Sports Park
29 Darien Street, Bridgeman Downs, QLD 4035
PO Box 466, Albany Creek, QLD 4035
P: 0417 191 141
E: president@northsidefootball.org.au
W: www.northsidefootball.org.au

© 2018 Northside Christian Football Club Inc.

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