O-Day Sign Up 2019
Complete this to be sent further information on season 2019
First Name *
Your answer
Surname *
Your answer
Phone *
Your answer
Email *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Do you plan to join *
In 2019 are you *
Tell us a bit about your football experience
Your answer
What is your student number
Your answer
By completing this form social membership of the club is free for Curtin Students, would you like to activate your membership *
Juniors - are you interested in any of the following
Submit
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