REGISTER FOR THE ADELAIDE JAGUARS

This is an official registration to play for the Jags in 2025.

We’re building something special. We’re excited to have you on this journey with us. Let’s go!!!

Player's First Name

Player's Last Name

Player's Date of Birth

YYYY

Player's Primary Street Address

Player's Primary Postcode

Primary Contact Email

Primary Contact Phone

Any medical information / special circumstances that we need to be aware of?

What school does the player attend

Senior players who do not attend school can skip this question

Parent / Guardian / Emergency Contact #1 Info

Name

Phone

Parent / Guardian / Emergency Contact #2 Info

Name

Phone

Consent

‘THE ADELAIDE JAGUARS WOMEN'S SOCCER CLUB’ will not be responsible for any loss, damage or injury arising directly or indirectly in connection with the participation of your child/children in any ‘THE ADELAIDE JAGUARS WOMEN'S SOCCER CLUB’ coaching program, training session, match or activity conducted by or on behalf of ‘THE ADELAIDE JAGUARS WOMEN'S SOCCER CLUB’. Nothing in this waiver is intended to exclude anything, which cannot be excluded by law. In the event of an injury or illness to your child/children, you hereby consent to ‘THE ADELAIDE JAGUARS WOMEN'S SOCCER CLUB’ or associated coaching staff to arrange any medical treatment that may be required (including, without limitation, any ambulance transport). You agree to pay on demand all medical costs incurred in relation to any injury or illness to your child/children that are not already covered by the FFSA's insurance policy and/or your own private health fund or Medicare. The under signed understands that your child/children may be photographed while participating in the program and you hereby give permission for the use of your child’s / children’s photographic likeness to be used in all forms of media for the promotion of any activity undertaken by ’THE ADELAIDE JAGUARS WOMEN'S SOCCER CLUB’. Indemnity & Release: The person signing the application must understand that signing the document affects their legal rights. The person signing understands that there are certain risks involved in the sport/activity that could result in injury and/or death. Football involves tackling and body contact which could lead to serious injury and/or death. The applicant signs the document in full knowledge that they have read the preceding document and understands it in full.

I have read and accept the above conditions