Souths Sharks Masters AFL - 2017 Membership
Those wishing to join or renew with the club in 2017 are required to provide the following details and contact information so that we can update our records for registration and contact purposes.
You will still be required to register with AFL Masters Qld http://www.foxsportspulse.com/assoc_page.cgi?c=1-7789-0-0-0&sID=209538 prior to playing your first match as well as to ensure your fees are paid.
Any questions can be directed to southssharks@hotmail.com.

Code of Conduct - You are required to read the 2017 Code of Conduct before you complete this form. It can be found at http://websites.sportstg.com/assoc_page.cgi?c=0-7789-0-0-0&sID=258685

MAFQ Rules - You are required to read the Masters AFL Queensland Playing Rules before you complete this form. They can be found at http://websites.sportstg.com/assoc_page.cgi?c=0-7789-0-0-0&sID=258683

2017 Membership FEES - Your fees for 2017 total $350 and include your playing shorts & socks, Sharks polo shirt, Sharks cap, Sharks stubby cooler and a sports bag (for new players only).
If you are unable to pay the full amount upfront then you should contact the Registrar to discuss your options.
*Players will not receive any players kit until the full fees are paid.

Fees for 2017 are payable by the 1st game if you intend on playing.
New players have until round 3 to pay fees, try before you buy but new players will not receive any players kit until the full fees are paid.

The preferred method of payment of your 2017 fees is by EFT, our bank account is:
"Souths Superules"
Bank of Queensland
BSB: 124 017
Account: 10327491

Please ensure you include your name in the payment reference area.

PRIVACY - Souths Superules respects your privacy, and all information is stored for the select purpose of administering the club and its activities. Your information will not be shared with a third party under any circumstances unless approval is given.

Masters or Supers *
NOTE: Approval needs to be obtained from MAFQ for underage players. See Registrar for further information if you are under 35
Required
MAFQ Registration *
NOTE: You must be registered with our governing body, MAFQ to play in 2017
Required
New or Renewing Application? *
Required
What was/is your first year with Souths Sharks? *
Enter 2016 if first year.
Your answer
First Name *
Your answer
Surname *
Your answer
Nickname *
Your answer
Number and Name of Street *
include unit number if applicable
Your answer
Suburb *
Your answer
Date of Birth *
dd/mm/yyyy
Your answer
Jersey Number
If player from 2017
Your answer
Guernsey Size *
approximate size
Required
Email address *
Email is imperative as this is the preferred form of communication from the club
Your answer
Do you consent to Souths Sharks providing your email address to our sponsors? *
This will only be done to offer services they have. If you select yes you can withdraw at anytime by contacting the sponsor directly
Mobile Phone *
This mobile will be used for SMS communications from the club. If you do not have a mobile, please input #
Your answer
Your Occupation / Profession / Company
Your answer
Partners Name
Will also act as emergency contact
Your answer
Partners Contact Number
For emergency contact
Your answer
EMERGENCY Contact Phone (if not partner)
For emergency contact only
Partners email
Your answer
Private Health Insurance? *
Do you have private health insurance? Souths has personal injury insurance through JTL but it is highly recommended that you have private health insurance (see http://www.foxsportspulse.com/assoc_page.cgi?client=1-6229-0-0-0&sID=215483&&news_task=DETAIL&articleID=18649274 for more information.)
Private Health Insurance - Which Company?
If you answered yes, please provide us who you are insured with. This information helps in the event of urgent medical treatment.
Your answer
Comments / Injuries / Availability Issues?
Your answer
Other Information
Please advise of any other pertinent information
Your answer
2017 Fees - Options for Payment *
Please choose your option for payment of your 2016 Fees.
Souths Sharks Code of Conduct *
Please refer to http://www.foxsportspulse.com/assoc_page.cgi?c=1-6229-0-0-0&sID=124167 - your membership will NOT be approved by the committee unless you have read and accepted the Code of Conduct
Required
AFL Masters Queensland Rules *
Required
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