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Registration for Senior Teams
Please register your details as a player for the Senior Teams here - registration at this stage is no guarantee of a place in the preferred team - teams will be announced ASAP after trials
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* Indicates required question
Did you play for Rangiora last season?
*
Yes
No
Your preferred position
Striker
Mid field - inner
Mid field - half
Defence
Goalie
Other:
We do understand that players may want to register for more than one team - please indicate your preference
Preferred
Back-up
Div 1
Div 2
Div 3
Mid Week Open
Platinum (Yr 9-13) (Year 9 & 10 MUST play Platinum)
Preferred
Back-up
Div 1
Div 2
Div 3
Mid Week Open
Platinum (Yr 9-13) (Year 9 & 10 MUST play Platinum)
Player school year (only if applicable)
Yr 9
Yr 10
Yr 11
Yr 12
Yr 13
Player's Name
*
Your answer
Players Gender
*
Female
Male
Player's Date of Birth
*
MM
/
DD
/
YYYY
Address
*
Please enter your full address including postcode
Your answer
Email address
*
Your answer
Mobile phone number
*
Please provide a mobile phone number as your primary contact - this will be used for team texts etc
Your answer
Emergency Contact details - Name
Your answer
Emergency Contact details - email address
*
Your answer
Emergency Contact details - Phone number (preferably a mobile please)
*
Your answer
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