JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2020 MUWFC Registration
Sign in to Google
to save your progress.
Learn more
* 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:
Clear selection
Home Postcode
*
Your answer
Work/Study Postcode
*
Your answer
Mobile Number
*
Your answer
Date of birth (mm/dd/yyyy)
*
MM
/
DD
/
YYYY
Email Address
*
Your answer
Please indicate one eligibility that best fits your connection to the University of Melbourne
*
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
University of Melbourne Student Number (where applicable)
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
Training t-shirt size (see below)
*
8
10
12
14
16
18
20
22
24
Other:
Do you need a new game day uniform kit?
Yes
No
Clear selection
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
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
