monash university handball club

online membership form

Personal Details

 
First Name: Last Name:
Address: Suburb: Postcode:
Phone (home): Phone (bus.): Phone (mob.):
Email:
Birthdate (DD/MM/YYYY): Citizenship (optional):

Membership Details

  
Course or Occupation:
For Uni students, please select institution:
Campus of Enrolment:
Student ID (Monash Student Only):
   

Handball Experience

  
Player Experience:
Position(s) played (please separate with comma):
Referee Experience:

Emergency Information
Name: Relationship:
Phone:

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Monash Handball Club © 2006