Participant Information
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NAB AFL Auskick Centre
Find or select your NAB AFL Auskick Centre by clicking on the Centre Locator button to the left
You must select an NAB AFL Auskick Centre
Date of Birth
(dd/mm/yyyy)
You must enter a Date of Birth
Invalid Date of Birth. You must enter a date in the format dd/mm/yyyy and be between 5 and 15 years old
Given Name
You must enter a Given Name
Surname
You must enter a Surname
Gender
You must select a Gender
Street Address
You must enter a Street Address
Suburb
Post Code
You must enter a Suburb
You must enter a Post Code
Invalid Postcode
State/Territory
You must select a State/Territory
Email
Invalid Email Address
School Attended
School Suburb
You must select a School
School Grade
You must select a School Grade
AFL Club Supported
You must select an AFL Club Supported
Are you currently a member of this AFL Club
You must make a selection
Approximately how many AFL games do you attend per season ?
You must enter games attended
Invalid Cnumber of games
How often do you watch AFL matches on TV ?
You must how often you watch AFL on TV
Parent Guardian Information
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Given Name
You must enter a Given Name
Surname
You must enter a Surname
Email
Invalid Email Address
Telephone
You must enter a Telephone Number
Invalid Telephone Number
Will your child play Australian Football (AFL) in any other competition other than NAB AFL Auskick in 2009? (with a minimum duration of 6 weeks)
You must make a selection
Can you assist with any of the following ?
You must make a selection
Is your family happy to receive information and promotions not directly related to the NAB AFL Auskick program from the AFL, AFL corporate partners, the AFL Club you support or your local junior club/s ?
You must make a selection
Parent Guardian Consent
Does your child suffer from any illness or disability ?
Does your child suffer from any allergy or is he/she allergic to any medication?
You must make a selection
In case of emergency, please contact
Name
You must enter a Name
Phone
You must enter a Phone Number
Invalid Phone Number
In an emergency, do you authorise the NAB AFL Auskick coordinator to arrange any necessary medical treatment for your child where prior notification has not been possible ?
You must make a selection
In order to manage your registration online, you must enter a password (minimum 4 characters)
You must enter a Password.
Repeat password
You must repeat the Password.
Passwords must be the same and longer than 3 characters
I hereby confirm that the information provided by me herein is true and correct.