Malta Junior Program Rugby League
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Under 16
Under 18
19's to 23 Squires
Knights
Interest to play.
Please only complete this form if you have played for Malta in 2019, 2020, 2021
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Indicates required field
Players Photo
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Year of Birth
*
2000
2001
2002
2003
2004
2005
2006
Please select the Year you are born.
Day / Month
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Name
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First
Last
Players Name
Address
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Line 1
Line 2
City
State
Zip Code
Country
Parents Name
*
Mobile Number
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Email
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Current Registered Club
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Region Eg. Penrith
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Division
*
Position
*
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Home
Contact
Under 16
Under 18
19's to 23 Squires
Knights