MyClubMate Player Management System

Players and Families Only please

  1.      Register a New Player     
  2.      Played with us before?     
  3.      Forgot your password?     

Player Details:

Title : Male / Female :
First Name : Middle Name :
Surname : Preferred Name :
Date Of Birth : Student ?
Preferred Shirt Size :
Password :
Confirm Password :
Password Hint :
  Use the Hint to remind you of your password

Medical Details:

Doctors Name : *
Doctors Phone No : 
Medicare No :
Medical Fund Name :
Ambulance Cover ?

Do you Suffer from any of the following?

Asthma :
Fainting / Dizzy Spells / Other sudden loss of consciousness:
Heart Condition :
Diabetes :
Ear Disorder :
Respiratory Disease :
Allergies (particularly bites/stings) :
Learning Difficulties (ADD, ADHD, ASD etc) :
Any Physical Impairments :
Any old injuries (esp knees & ankles) :
Other (please specify) :
General Medical Notes :
Details Of Above:
Action To Be Taken:

Address Details:

Street : *
 
Suburb : *
State :
Postcode : *

Contact Details:

Contact Visibility : Doesn't apply to Emergency Contacts
Home Phone Number : *
Work Phone Number :
Mobile Number : Receive SMSs?
Main Email Address :
Receive Club Emails?
2nd Email Address :
Receive Club Emails?

Emergency Contact:

First Name : *
Last Name : *
Phone Number :
Mobile Number :

Please Enter your Name and Date of Birth to show the rest of the form...

Online Player Management System Designed, Built and Hosted by MyClubMate.com.au 2018                                                     Fees & Refund Policy