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2021 MUWFC Registration
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* Indicates required question
Type of MUWFC member
*
Player
Coach/Support Staff
Other
Required
Given Name
*
Your answer
Last Name
*
Your answer
Gender
*
Female
Male
Non-Binary
Prefer not to say
Other:
Home Postcode
*
Your answer
Work/Study Postcode
*
Your answer
Mobile Number
*
Your answer
Date of Birth (dd/mm/yyyy)
*
MM
/
DD
/
YYYY
Email Address
*
Your answer
Please select ALL eligibility that best fits your connection to the University of Melbourne (UoM)
*
University of Melbourne Undergraduate Student
University of Melbourne Postgraduate Student
University of Melbourne Staff Member
University of Melbourne Alumni
Student of another University
Alumni of another University
No association with any University
Required
University of Melbourne Student Number (where applicable)
Your answer
If you registered with a football club prior to joining MUWFC (in either 2020 or 2019), please list the full name of the club
Your answer
If you have been training with or are signed up to a VFLW club for the 2021 season, please list the club below
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Number
*
Your answer
Medicare Number
*
Your answer
Medical Information (e.g. existing injuries, mental health, or anything you'd like to disclose)
Your answer
Do you currently take any medications? Please provide details.
Your answer
Do you have private health insurance?
*
Yes
No
Do you have ambulance cover? Please note that should you require an ambulance at any stage, one will be called regardless of whether you have ambulance cover (memberships can be purchased online at
https://www.ambulance.vic.gov.au/membership/
)
*
Yes
No
Ambulance Membership number (if applicable)
Your answer
Do you have a current Working With Children Check?
*
Yes
No
Please enter your WWCC number and expiry
Your answer
Training t-shirt size (see below)
*
8
10
12
14
16
18
20
22
24
Other:
Would you like a nickname or surname added to the back of your training tee? If so, please list below. If this is left blank, it will be assumed you do not want a name printed on the back.
Your answer
Do you need a new game day uniform kit? (this information will be passed onto our Merch team to help kit you out!)
*
Yes
No
What is your preferred jumper number? You can state a few but priority will be given based on a player's affiliation with the club. State your existing number if you choose to keep it.
Your answer
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