Registration

Registration Type

Player Registration

Supporter Registration

Upload an Image of Yourself

Image of your face with a clear white background. No Accessories (Hats, Glasses, etc.)

Accepted file types: jpg, gif, png, pdf, Max. file size: 5 MB.

Name*

First Last

Preferred Name

Identity Documentation Type*

ID Number*

Passport Number*

Date of Birth*

Cell Phone Number*

WhatsApp Access

Yes

No

Email Address*

Top Size

Medical Details

Do you have Medical Aid?*

Yes

No

Hospital Preference:*

Medical Aid Provider*

Plan Type*

Medical Aid Number*

Have you had any Significant past injuries and Medical conditions the club should know about?*

Yes

No

Please provide as much details about your injury and when it happened if applicable.

Do you suffer from any allergies or allergic?

Yes

No

Please list any allergies or what you are allergic to below:

Are you currently on any chronic medication?

Yes

No

Please list any medication you are currently on:

Next of Kin

Person should be contactable should there be any type of emergency

Relationship to you

Name

First Last

Mobile Number

Rugby Experience

Preferred Position

Alternative Position

Your highest Level of rugby played and what year?

Name of your most recent club (if applicable)

Height (cm)

Weight (kg)

Shorts Size

Jersey Size

Current Occupation

Would you be interested In publicizing your services with other members of the club?

Yes

No

Are you willing/able to assist the club in any of the following areas:

Sorting out or washing of the Rugby Kit

Assistance in the Food Stalls

Assistance with the Bar

Assisting with Field Marking

Maintenance around the club and fields

Assisting with training apparatus

Other

Please specify what you could assist the club with below:

You Accept the following conditions:

You agree and provide Masi RFC permission to use any images of you in our club promotions, correspondence and social media postings

You agree to fully paying the subscription fees linked to your category of membership

You agree to adhere to all our club rules and values as laid out by the club as well as to abide by the club constitution

Player / Supporter Registration Form

Medical Details

Next of Kin

Rugby Experience

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