SYRIA RUGBY LEAGUE Player Registration Form
Please complete to register your interest to trial for Syria Rugby League
Customer Details:
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Number
*
E-mail
*
example@example.com
Gender
*
Please Select
Male
Female
Age Group
*
Please Select
U14
U15
U16
U18
OPENS
Are you currently registered to a Junior Rugby League Club
*
Yes - answer next question.
No
Which Junior Club?
*
What is your Play NRL ID
Please complete this if you currently or have played representative footy. If none add "none"
*
Shirt size?
*
Please Select
XS
S
M
L
XL
2XL
3XL
4XL
Short size?
*
Please Select
XS
S
M
L
XL
2XL
3XL
4XL
I am Syrian from my (.........) side?
*
Mother
Father
Grandfather
Grandmother
Great Grandparents
None
Which Syrian city are the above from?
*
Upload your parents or grandparents birth certificate showing your Syrian background
*
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