Please complete the form below.

The fields marked with an * are required, the others are optional, however we do hope you provide all your details as we wish to personalise our communications with you.

Note:

• Existing members will need to re-register.
• Registered Rugby Players sign up free and for non-registered players are just $20.

First Name *

Last Name *

Date of Birth *

Address 1 *

Address 2

Town *

Contact phone number *

Email address *

Do you play rugby? *

Yes, I do play rugby for a club or school and have filled out a NZRU registration form
No, I dont play rugby and have not filled out a NZRU junior player registration form

Which grade do you play in?

Which school do you play rugby for (if any)?

NZRU Registration ID number

Please send me a free season ticket to the ANZC

Sign me up for the Ferdie Rugby Club Newsletter

Please answer the following (for security purposes) *