Malta Junior Program Rugby League
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Knights
Malta Dames Over 17
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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
*
Max file size: 20MB
Year of Birth
*
2000
2001
2002
2003
2004
2005
2006
Please select the Year you are born.
Day / Month
*
Name
*
First
Last
Players Name
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Parents Name
*
Mobile Number
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Email
*
Current Registered Club
*
Region Eg. Penrith
*
Division
*
Position
*
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Knights
Malta Dames Over 17
Contact