Queensland Gaelic Football Association Member Registration Form
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1Queensland Gaelic Football Association
Member Registration Form
This form is to be completed in FULL and signed by the member (or parent/guardian if the member is under 18).
This form must be received by the Registrar before any player or official is eligible to participate in QGFA competitions.
For eligibility to participate in championship football, or in competition finals, please refer to GFHAA Rulebook and QGFA By-Laws for details
on the number of minimum games required.
Please use BLOCK CAPITALS when filling this form, as illegible forms may not be accepted.
PERSONAL DETAILS
Given Name(s)
Family Name
P.code
Postal Address
Mobile
Home Phone
Email Address
Occupation
(optional)
/
/
Country of Birth
Date of Birth
Australian or NZ Citizen
Permanent Resident
Residency Status
457 Visa
Working Holiday Visa
* Proof of residency
is required
Other (please specify) _________________________________________________________________
QUEENSLAND CLUB DETAILS
(If you are playing more than one sport, please include club/team details for both)
Club Name(s)*
FOOTBALL
HURLING
CAMOGIE
Code
MENS
WOMENS
Team (Football)
*SANCTION forms are required to be completed, submitted and approved for all players who have been registered outside of
Australasia in Men's Gaelic Football or Hurling before they play in Australasia. After 12 months of sanction, players are then
required to transfer if still playing within Australasia. Players who change clubs within Australasia are also required to complete
the relevant transfer forms. All relevent forms must be completed and approved before a player is eligible to play.
NEXT OF KIN CONTACT DETAILS
Name
Contact numbers
MEDICAL INFORMATION
Private Medical
Allergies
Insurance
DECLARATION
I hereby declare that all information supplied in this registration is complete and correct. I agree to abide by the rules of the Queensland
Gaelic Football Association, including the GFHAA Rule Book, QGFA By-Laws, Competition Rules and assoicated policies. I provide approval
for my club to keep a copy of these registration details. I understand that any information on this form will be retained for QGFA Emergency
and Registration Purposes ONLY (which includes passing information onto the GFHAA and GAA in Ireland), and stored in a confidential
location. I am aware of the QGFA Insurance policy and understand the level of cover that this policy represents in the event of
injury/permanent disablement or death.
Date
Signature of Member
(or Parent/Guardian if under 18)
QGFA/CLUB USE ONLY
Payment Rec #
Receipt Sent
QGFA / GAA #
Date
Version 1.0 - 4th March 2011
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