MyClubMate Player Management System

Players and Families Only please

  1.      Register a New Family     
  2.      Played with us before?     
  3.      Forgot your password?     

Player Details:

Title : Male / Female :
First Name : Middle Name :
Surname : Preferred Name :
Date Of Birth : Student ?
Password :
Confirm Password :
Password Hint :
  Use the Hint to remind you of your password
How did you hear about us?

Medical Details:

Doctors Name : *
Doctors Phone No : 
Medicare No :
Medical Fund Name :
Ambulance Cover ?

Do you Suffer from any of the following?

Asthma :
Fainting / Dizzy Spells / Other sudden loss of consciousness:
Heart Condition :
Diabetes :
Ear Disorder :
Respiratory Disease :
Allergies (particularly bites/stings) :
Learning Difficulties (ADD, ADHD, ASD etc) :
Any Physical Impairments :
Any old injuries (esp knees & ankles) :
Other (please specify) :
General Medical Notes :
Details Of Above:
Action To Be Taken:

Address Details:

Street : *
 
Suburb : *
State :
Postcode : *

Contact Details:

Contact Visibility : Doesn't apply to Emergency Contacts
Home Phone Number : *
Work Phone Number :
Mobile Number : Receive SMSs?
Main Email Address :
Receive Club Emails?
2nd Email Address :
Receive Club Emails?

Emergency Contact:

First Name : *
Last Name : *
Phone Number :
Mobile Number :

Club Help:

Help Committee?
Be A Manager?
Be A Coach?
Be A Referee?
Volunteer Offerings : Please specify if you can help

Please Enter your Name and Date of Birth to show the rest of the form...

Online Player Management System Designed, Built and Hosted by MyClubMate.com.au 2017                                                     Fees & Refund Policy