Family Membership

Please complete the following to purchase

* Indicates required field

First Adult Name *

First

Last

Second Adult Name *

First

Last

Mobile Number *

Email *

Date of Birth *

Address *

Line 1

Line 2

City

State

Zip Code

Country

My Agreement with the Warragul Football & Netball Club Inc.
I understand that Warragul Football and Netball Club will collect and store personal information about the player (me/my child) according to our Privacy Policy and Disclaimer statement.
I acknowledge my responsibility to observe the standards in the Warragul Football and Netball Club’s Code of Conduct and immediately report any breach of this code to the Warragul Football and Netball Club’s Child Safety Officers and/or a member of the Executive Committee.

I have read and understand the Warragul Football and Netball Club Privacy Policy and Disclaimer *

I Accept

I confirm that the information contained in this application for registration is true and correct *

I Accept

I have read and understand the WFNC Code of Conduct and agree to abide by it at all times *

I Accept

I agree with the terms and conditions set out above and understand that this digital acceptance signifies my consent *

I Accept

Submit