The following information will only be used in accordance with the purposes of Rumbalara Football Netball Club and its programs. If you have any privacy concerns or would like to verify information held about you, please contact Club administration.

First Name Middle Name Last Name

Date of Birth Gender (please circle) Require transport (please circle)

M F Y N

Street Address Suburb Postcode

Home Phone Mobile Phone

Parent/Guardian Mobile (juniors only)*

Email Parent/Guardian Email (juniors only)*

Occupation

If student, are you full time? No Yes

Opt Out, I do not wish to receive club emails/sms, direct mail and any other communications.

I hereby consent to the Rumbalara Football Netball Club registering me with the Murray Football & Netball league. I understand that I may be registered to only one Murray Football & Netball League affiliated club at one time. By registering with the Rumbalara Football Netball Club I agree to abide by all rules and regulations as outlined in the Club’s bylaws and vision, values & standards.

Players Signature Date

*Parent/Guardian Signature Date

*To be completed by parents/guardians of players under 18

Please tick the membership package that you would like to purchase.

PLEASE NOTE: A $65 DEPOSIT IS REQUIRED UPON REGISTRATION AND FULL PAYMENT OF MEMBERSHIP MUST BE PAID PRIOR TO THE FIRST MATCH, UNLESS OTHERWISE NEGOTIATED WITH THE FINANCE MANAGER. IF A PLAYER DOES NOT MAKE PAYMENT OR AN ARRANGEMENT ON OR BEFORE THIS DATE, THEN THEY WILL NOT BE PERMITTED TO PLAY FOR THE CLUB UNTIL THEY HAVE DONE SO. THIS IS A DIRECTIVE FROM THE AFLV UNDER ITS AFFILIATION AND WILL NOT BE COMPROMISED DUE TO THEIR INSURANCE COVER.

Membership Type / Package / Price
Platinum Membership / ·  Registration, player insurance (basic level) & tape
·  Home game gate entry, key ring and Fridge magnet
·  Jacket size……..
·  Polo Shirt size…….
·  Hoody Jumper size …….
·  Shorts size……..
·  Cap / $370
Gold Membership / ·  Registration, player insurance (basic level) & tape
·  Home game gate entry, key ring and Fridge magnet
·  Jacket size……..
·  Polo Shirt size…….
·  Hoody Jumper size ……. / $310
Silver Membership / ·  Registration, player insurance (basic level) & tape
·  Home game gate entry, key ring and Fridge magnet
·  Polo Shirt size…….
·  Hoody Jumper size ……. / $245
Bronze Membership / ·  Registration, player insurance (basic level) & tape
·  Home game gate entry, key ring and Fridge magnet
·  Polo Shirt size……. / $180
Basic Membership / ·  Registration, player insurance (basic level) & tape
·  Home game gate entry, key ring and Fridge magnet / $145
Junior Membership / ·  Registration, player insurance (basic level) & tape / $55

As a member you will receive a 10% discount on all of our KOOGA merchandise!


Jacket $75.00
Members price $67.50 /
Hoody $79.00
Members price $71.10 /
Polo $49.00
Members price $44.10

Hat $20.00
Members price $18.00
Netball Dress $50.00 /
Shorts $25.00
Members price $22.50

Singlet $34.00
Members price $30.60 /
Warm-up shirt (short sleeve) $44.00
Members price $39.60

Warm-up shirt (long sleeve) $49.00
Members price $44.10