SANFL & ECH Walking Footy - Individual Player Registration - T4 Woodville 2023

First Name:*

Last Name:*

Email:*

Enter Email Confirm Email

Mobile Number:*

Gender:*

Date of Birth (DD/MM/YYY)*

Suburb:*

Emergency Contact Name:*

Emergency Contact Number:*

I am registering for:*

Are you currently an ECH resident?*

If yes - at which village do you live?

If no to being a resident - are you an ECH client? (i.e you use services supplied by ECH)

If you are a client - what services do you use?

Do you participate in any other sport/physical activity other than Walking Footy? If yes, what?*

Where did you hear about ECH Walking Footy?*

Image Waiver*

SANFL may capture photos and videos of the event/activity. The participant understands that these images may be used in the promotion of the SANFL & ECH Walking Footy Program, and in other SANFL and ECH material

I consent
I do not consent

Disclaimer*

The participant understands that this event/activity is potentially hazardous and the participant elects to participate at their own risk; The participant will not participate in the event/activity unless they are medically fit on the day of the event/activity, and in any case, they participate at their own risk; The participant understands that no personal injury insurance is offered for participants for this activity, and any costs associated with injury from participation are not the responsibility of SANFL, ECH or the venue hosting the activity.

I understand and agree to these terms

SANFL & ECH Walking Footy – Individual Player Registration – T4 Woodville 2023

Register Now!

SANFL & ECH Walking Footy – Individual Player Registration – T4 Woodville 2023

Register Now!

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