Player Registration Application for membership of the St Kilda City Sharks 2017 Please complete the form below to register. I Of Date of Birth Email Telephone wish to become a member of the St Kilda Sharks. Membership Player MembershipSocial MembershipLife Membership In the event of my admission as a member, I agree to be bound by the Rules of the Association for the time being in force. Do you give consent for the information on this form to be supplied to the relevent sporting association (e.g.S.F.L./ C.M.C.A./ V.W.F.L., and team coaches? YESNO Occupation Company I acknowledge that the St Kilda City Sharks have advised me to obtain personal private health Insurance and ambulance cover in addition to the insurance cover provided by my affiliated sport if I am playing member of the club. Signed Date Please answer this so we don't have to deal with spam: 1+1=?