Junior Registration Form 2016Under 6/7 Junior Registration
Under 8 - U13 Junior Registration
Under 16 Junior Registration
Sibling discount $10 off 2nd child $20 off 3rd child
New player Returning player
Date of Birth
Contact 1Contact 2
(if different to above)
How did you hear about our sign on day?
Email from club
Friend/word of mouth
We are rely on the support our generous sponsors. Are you a member of their clubs?
Maroochy Surf Club
Payment Details EFTPOS
Account Name: Maroochydore Rugby Union Club Inc
Account Number: 21554022
Use players name as reference
Get Started Voucher Number
Rugby Link Entry (FOR OFFICE USE)Date entered
Complete registration form, including photography consent form
Pay Registration fees by Direct Deposit with players name as reference
Email completed forms to the Junior Registrar at firstname.lastname@example.org
Training starts Thursday 18 February
Photography and Filming Consent Form
Maroochydore Rugby Union Club is seeking your consent to use photographs of you/your child for promotional purposes in marketing materials and on its website and social media page. Any images will not include players names.
Maroochydore Rugby Union Club will take all steps to ensure these images are used solely for the purposes they are intended. If you become aware that these images are being used inappropriately you should inform the Maroochydore Rugby Union Club immediately.
Any permission given is for the duration of the players involvement with the Club unless permission is withdrawn by a parent/caregiver in writing.
To be completed by Parent/Caregiver:
I consent to the Maroochydore Rugby Union Club photographing or filming my child (Child's name: _________________________) and using these images for promotional purposes.
Print Name of Parent/Caregiver
Signature of Parent/Caregiver
To be completed by Child/Young person:
I, ___________________________________________________, consent to Maroochydore Rugby Union Club photographing or filming my involvement in sporting activities and using these images for promotional purposes.
Print Name of Child/Young Person
Signature of Child/Young Person