rH YARRA JUNIOR FOOTBALL LEAGUE PLAYER REGISTRATION AND TRANSFER FORM JlT-L JUNIOR FOOTBALL CLUB CLUB: ADDRESS: POST CODE MALE DATE OF BIRTH: GENDER: HOME PHONE: MOBILE PHONE: FEMALE trMAIL: Previous elub Information. Previous 3 clubs. complete Club if applicable Date last Played Leasue / Association I ,, 3. If applicant has not previously piayed Club football, but has been involved in Auskick ' Lastyear involved:"""""" Pleaie indicate :Name of Auskick: ......'.....--.... Are you at present under disqualification for misdemeanour or financial reasons Do you owe your previous Club money or any item of property Player's signature Signature of Club ? Official ? Yes No Yes No Date To be used for Under Age Players PARENT'S DECLARATION .................. .......-.being ParentlGuardian of the above rramed player veriff the date of i:irth stated above. I give my consent to him/her becoming a membei oithe above Club. I fully understand that the player is bound by Rules, Regulations and By Laws, including Codes of Conduct of the the Club and the Yarra Junior Football League and agree to abide by the Codos of Conduct and all r.rlings rnade by the Leaguo that relaL to me. iunderstand that the League may withdraw or suspend my son (s)/daughters(s) registration to play in the YJFL should I fail to comply with the Codes and/or any rulings of I the League CLUB RETENTION OF PLAYER REGISTRATION AND TRANSFER FORM players are to provide a birth cefiifieate OR other evidence (eg Student ldentification) of Oate oigifth. fne CtuU is to retain this Player Registration Form and a copy of Birth Cerlificate or other evidence of Date of Birth. This form must be produced within 24 hours if requested by the League. A11
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