Clone of General Membership Form

ADELAIDE WANTS THEIR TEAM BACK ASSOCIATION

RUGBY LEAGUE TEAM BACK IN ADELAIDE
General Membership Form

Thank you for your interest in joining the Adelaide Wants Their Team Back Association AWTTB (Fill out your details to request membership).
Our association brings together passionate rugby league supporters who wish to support, promote Adelaide wanting an NRL Team back in Adelaide.
1. APPLICANT DETAILS
Full Name

First NameLast Name
Date of Birth:

MonthDayYear
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
2. MEMBERSHIP DETAILS
Membership Type:

Other
If other ticked please expand:
Preferred Membership Year:
E.g.2026.
Are you a current or former member of the Association?
If yes, please provide your previous membership details, if known:
3. RUGBY LEAGUE INTERESTS

Favourite NRL/NRLW Club:
Other Rugby League Interests:
Other:
Please Expand on your answer
4. EMERGENCY CONTACT
Name

First NameLast Name
Relationship:
E.g Partner/Parent/Sibling
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
5. MEMBER COMMUNICATION

I would like to receive Association communications, including membership information, news, events and updates.
How would you like to receive your communication
I understand that I may update my communication preferences by contacting the Association.
6. WHY ARE YOU INTERESTED IN JOINING THE ARLSA?
Why are you interested in joining?
7 . MEMBER DECLARATION
By submitting this application, I confirm that the information provied is true and correct.

I agree to abide by the Consitiution, rules, policies and reasonable directions of the Australian Rugby League Supporters Association while I remain a member.

I understand that membership is subjecto to approval by the Association and that membership fees, where appiicable, are paybale in accordance with the Association's current fee schedule.

I agree to conduct myself respectfully and not engage in behaviour that may bring the Association, rugby league or its members into disrepute.
Applicant Signature
DateTime
8. PAYMENT DETAILS

(FOR ALL MEMBERSHIPS MADE IN 2026, THERE IS NO FEES)
Membership Fee: $
Payment Method:
Other:
Transaction/Receipt Number (if applicable)
Payment Date:
E.g. 24/10/52
9. OFFICE USE ONLY

Application Received:
Date:
E.g. 12/10/1976
Membership Approved:
Membership Number
E.g. ooo1
Membership Commencement Date:
E.g. 02/02/2026
10. PRIVACY
The Australian Rugby League Supporters Association will collect and use the information provided on this form for legitimate Association purposes, including processing membership, communincationg with members, maintaining memberships records and administering Association activities.

Personal information will be handled in accordance with the Association's applicable privacy obligations and policies.
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ADELAIDE WANTS THEIR TEAM BACK ASSOCIATION

General Membership Form

1. APPLICANT DETAILS

2. MEMBERSHIP DETAILS

3. RUGBY LEAGUE INTERESTS

4. EMERGENCY CONTACT

5. MEMBER COMMUNICATION

6. WHY ARE YOU INTERESTED IN JOINING THE ARLSA?

7 . MEMBER DECLARATION

8. PAYMENT DETAILS

9. OFFICE USE ONLY

10. PRIVACY