Otago University Rugby Football Club

Register as a Player

Section A
Student ID number
Current Club/School
Province
Section B
Have you completed an NZRFU registration form before?*	Yes No
If Yes, Club/School registered to
Province
Section C
Date of Birth* (Date of Birth is IMPORTANT to ensure correct age grade team classification.)	dd/mm/yyyy
First Name*
Middle Name
Surname*
Known As
Email*
Street Address*
Suburb*
Town*
Home Phone
Work Phone
Mobile Phone
Alternative Street Address
Alternative Suburb
Alternative Town
Gender*	Male Female
Weight (Kgs)*	Number only
Section D
Ethnicity (To identify as Maori, all that is required is a known blood link.)	Maori NZ European Asian Pacific Islander Other
Section E
Have you been playing for a club overseas in the past year?*	Yes No
Section F
If you are moving province in 2009, which province will you be moing to? (This will enable your new provincal rugby union to assist you with finding a rugby club in 2009.)
Section G
Please state any medical condition that your coach may need to be aware of
Section H
Grade playing this year	Premier Senior Colts Women Under 19
Preferred Position
Section I
Team Playing for this year (If your club has more than one team in your grade.)
Family Contact
Please enter one, or more, family contact email address if you would like those people emailed regarding fixtures or events such as the formal OURFC Awards Dinner.
Image
Your picture (You can upload a jpg portrait photo of yourself)