Rams 2022 Membership form and bank details

Name*

First Last

Mobile number*

Email*

What is the best email to contact you?

Address*

Please use your current address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Mobile number*

Your mobile number?

Age*

How old are you right now?

D.O.B*

The date your mum put on your birth certificate, not the lies you tell now?

Emergency contact

Who do we call if you are broken?

Emergency contact number*

To be a member of Rams you need to agree to the following terms.*

This document forms the application to become a financial member of Northampton Rams AFL Masters Inc. (NRAM). Conditions of this membership include (but is not limited to) the following; A player that provides incorrect particulars renders himself liable for disqualification. If I participate in a game I agree to be deemed to have accepted voluntarily all and any risks associated with playing sport on the playing surface and its’ associated equipment Neither AFL Masters Western Australia Inc. or NRAM, for whom the intended Player wishes to play, shall be responsible for the payment of any doctors bills, medical bills, dental bills or hospital bills. Players are advised to ensure that their medical and fitness levels are checked by a qualified Medical Practitioner. I certify that I will be playing in the AFL Masters Western Australian Inc. Australian Rules football competition and declare that the above information is correct and I do acknowledge the Contents of the above Clause. I also acknowledge and declare that I have been provided with and have read a copy of the match rules and I agree to play AFL Masters in accordance with those rules and associated penalties. I understand this membership may be suspended / expelled if I act detrimentally to the interests of NRAM and / or bring the organisation into disrepute. I agree that Scoops are an acceptable alternative to our current playing shorts. When worn high the likelihood of chafe is next to nothing. I also agree that I will not leave the disco later than 4:00 am on any playing days.

I agree

Membership fees*

Annual Membership Fee: $50.00 Northampton Rams AFL Masters Inc (Bank Details) - Bendigo Bank Geraldton - BSB: 633 000 - Account #: 190430637

I have paid my membership fee because I am a great bloke
I haven't paid and want my mates to carry me financially as well as on the footy field.
I am a tight ass wanker and won't pay.

Have you registered with SportsTG?*

Copy this link to register. https://www.playhq.com/afl/register/e69f7f

Yes
No

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Rams 2022 Membership form and bank details

RAMS 2022 Membership form