Player Registration Form

Join the Peninsula Dolphins for the 2026 season! Please fill out the form below to register your child.

Parent/Guardian Details

First Name *

Last Name *

Email Address *

Phone Number *

Address *

Suburb *

State *

Postcode *

Player Details

First Name *

Last Name *

Date of Birth *

Used to determine age group placement

Gender *

School

Previous Rugby League Experience

Medical Conditions or Allergies

Emergency Contact

Full Name *

Relationship to Player *

Phone Number *

Email Address

Consent & Agreement

I consent to my child participating in Peninsula Dolphins Rugby League Club activities * I understand that rugby league involves physical contact and accept the associated risks * I consent to photos/videos of my child being taken for club promotional purposes I would like to receive club newsletters and updates via email

* Required fields