Registration - NZAFF

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Contact Information

* Indicates required field

Name *

First

Last

Email *

Cell Number *

Phone Number *

Gender *

Male Female

Home Address *

Line 1

Line 2

City

State

Zip Code

Country

Work Address *

Line 1

Line 2

City

State

Zip Code

Country

Membership

Player Membership *

Premier Men's Contact U19 Contact (Colts) U16 Contact (Juniors) Premier Women's Contact Senior Flag Football Colts Flag Football Junior Flag Football U12 Pee Wee Flag Football

Roles *

Player Coach Official Club Admin

Club Name *

Region *

1st Choice Position *

2nd Choice Position *

3rd Choice Position *

Documentation

Date of Birth *

Document Type *

NZ Birth Certificate NZ Drivers License - Current Passport - Current

Upload Document Type *

Max file size: 20MB

Emergency Contact

Emerg Contact Name (1) *

First

Last

Emerg Contact Phone (1) *

Emerg Contact Email (1) *

Emerg Contact Name (2) *

First

Last

Emerg Contact Phone (2) *

Emerg Contact Email (2) *

Player Statistics

Height *

Weight *

Bench Press *

Vertical Jump *

Broad Jump *

3 Cone Drill *

20 Yard Shuttle *

40 Yard Dash *

60 Yard Shuttle *

Submit

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