New Player

Interest to Play

Please complete this form if you are a New Player interested in representing Malta Heritage Rugby League.

* Indicates required field

Players Photo *

Max file size: 20MB

Year of Birth *

Day / Month *

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Parents Name *

Mobile Number *

Email *

Current Registered Club *

Region Eg. Penrith *

Division *

State *

Position *

Comment *

Players Birth Certificate *

Max file size: 20MB

Proof of Maltese Heritage *

Max file size: 20MB

Submit