Dubai Falcons Rugby Registration
2020/2021
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Email *
Member's Surname
Member's First Name
Member's Date of Birth
MM
/
DD
/
YYYY
Member's Address
Age Group
Is your child transferring from another UAE rugby club? *
Required
If yes, which club? *
How many years has your child played? *
Gender
Nationality *
School *
Member's UAE ID. No. *
Member's Passport No. *
Does the member suffer from any medical conditions that we should know about? *
Required
If yes, please provide details of existing medical conditions
Permission to use image: I grant permission to Falcons to use the Member's image or likeness or voice for the promotion of Falcons including but not limited to photographs, live or recorded television, electronic transmission, video display, internet, radio or any other transmission or reproduction. All photos and videos and recordings are the sole property of the Falcons.
Primary Parent/Guardian's Full Name (The primary Parent/Guardian will be the initial contact we use for communication.) *
Primary Contact Mobile Number *
Primary Contact Email Address *
Can the Primary Contact help?
Secondary Contact Parent/Guardian's Full Name *
Secondary Contact Mobile Number *
Secondary Contact Email Address *
Can the Secondary Contact help?
I agree to abide by the Falcons Rugby Club, UAE Rugby Federation and the Dubai Polo & Equestrian Club to follow there COVID-19 Rules at all times. *
Required
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