Concession Membership

First Name (required)

Last Name (required)

Date of Birth (required)

Gender (required)
MaleFemale

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Phone Number (required)

Street Address (required)

Unit/Apartment Number

City (required)

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Name (required)

Location where Emergency Contact lives (required)

Player relationship to Contact (required)

Phone Number (required)

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I pledge to abide by the DC Eagles Australian Football Club Players Code of Conduct (READ IN FULL). If I am deemed to have breached the Code of Conduct by DC Eagles Australian Football Club officials, I agree to penalties determined by the club, including the possible revocation of my membership. I understand that the DC Eagles Australian Football Club assumes no responsibility for injuries or illness which I may sustain resulting from participation in any athletic activities, sports programs, the use of any equipment, exercise or other activities run by the club. I expressly acknowledge on behalf of myself and my heirs that I assume the risk for any and all injuries and illnesses which may result from participation in these activities. I hereby release and discharge the DC Eagles Australian Football Club, its agents, servants and employees from any and all claims for injury, illness, death, loss or damage, which I may suffer as a result of my participation in these activities. I give my permission to the DC Eagles Australian Football Club to use indefinitely, without limitation or obligation, photographs, film footage or tape recordings which may include my image or voice for purpose of promoting Australian Rules football and the DC Eagles Australian Football Club. By clicking the below checkbox, I agree to the pledge and waiver set forth above.

I agree to the DC Eagles Australian Football Club Code of Conduct and Waiver set forth as above.