South Adelaide Membership Form

Players Address *

Players Email *
example@example.com
Date of Birth *
01/01/1990
Players Mobile No. *

04** 123456
Parent/Guardian 1 Name *

First Name Last Name
Parent/Guardian 1 Mobile No. *

04** 132456
Parent/Guardian 2 Name *

First Name Last Name
Parent/Guardian 2 Mobile No. *

04** 123456
Best contact Email *
example@example.com
Is your Parent/Guardian interested in becoming a Coach or Manager?
School
Year Level
Select from Dropdown
Have you played Club volleyball?
Select from Dropdown
If Yes, which Club?
If Yes with SAVC, what is your current playing No.?
VSA Registration No.
Medical History
Details of any medical conditions
Medicare No.
Emergency contact no.

04** 123456
Are there any friends you have preference to play with in Summer?
*Please ensure you pay your $65 Summer Junior Deposit to secure your spot. This can be done on the SAVC store.

By pressing the SUBMIT button you or your Parent/Guardian agree to abide by the SAVC Handbook. A copy of the Handbook can be found here.
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