Eagles Player Registration

Parent / Guardian First Name

Parent / Guardian Last Name

Phone/Mobile

Address

Parent / Guardian Address

Start writing your address and choose from the autocomplete options

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Address

House Number and Street Address

City / Suburb

State

Post Code

Emergency Contact: First Name

Emergency Contact: Last Name

Phone/Mobile

Relationship to player

Authority to collect player from camp

Yes

Authorised to administer player medication

Yes

Authorised to consent to player medical treatment

Yes

If there is something you think we left out or anything we can improve upon, let us know here (optional)

October 3 - 5 (8.30AM - 3PM) CAMP REGISTRATION