Under 16

UNDER 16'S

Please complete this form if you are interested in representing Malta Heritage Rugby League. Born 2006, 2007 and 2008 only.
Men's Comp

* 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 *

Players Birth Certificate *

Max file size: 20MB

** Birth Certificates are required to complete the registration interest.

Proof of Maltese Heritage *

Max file size: 20MB

If you have registered earlier this year, and your certificates have already been submitted. You will not need to re-submit. Once confirmed you will receive a text message with-in 24 hours.

Submit