Registration

Child's Given Name: *
Surname: *
Postal Address: *
Email: *
Gender: *
Date of birth: *
School Attended: *
Grade: *
Which Auskick program would you most likely attend *	Hong Kong Typhoons (Hong Kong Football Club, Happy Valley, Saturday morning) Kowloon Cobras (King's Park, Ho Man Tin, Sunday morning) Lantau Lizards (Discovery Bay, Lantau Island, Saturday morning)
AFL Club Supported:
Guardian/Parent Given Name *
Surname *
Postal Address
Email: *
Telephone: *
Mobile number for any late cancellation text messages *
Other Parent/Guardian Given Name: *
Surname: *
Postal Address:
Email *
Phone Number *
Is either parent a qualified AFL Junior Coach
Does either parent have a first aid qualification? *
Would you be willing to assist in the program?
Area of assistance	Umpiring Administration General Helper
Does your child suffer from any illness or disability? *
If YES please provide detailed information:
Does your child suffer from any allergy or is he/she allergic to any medication? *
If YES please provide detailed information:
Emergency Contact Name: *
Emergency Contact Telephone: *
I have read and accept all terms and conditions with registration of a player for this program: *	I accept