Personal Details

Players Name *

Surname *

DOB *

NRL ID # *

Ethnicity *

Are you willing to provide proof of age if requested *

Email Address *

Address

Registration

Would you like to be considered for QTRL representative team (U13 - Opens) *

YesNo

Are you Tongan? *

YesNo

If you responded Yes, would you be willing to provide evidence of your Tongan heritage if requested? *

YesNoNot applicable

If you are Tongan, kindly share your village or villages. If you are not Tongan, please enter “NA.” *

How many years have you played rugby league? *

Never played1-2 years3+ years

Players Kit

https://www.ev2sportswear.com.au/pages/size-guide

Emergency Contact

Name *

Phone number *

Email *

Relationship *

Medical Information

Do you have any medical conditions that could impact your ability to play sport? *

Yes No

If you answered yes, please specify *

Do you have any allergies? *

Do you have a medicare card? (all players must have a medicare card) *

Medicare number *

Do you have private health? *

Acknowledgement and Liability Waiver

By submitting this form, I acknowledge that I have read and understood the Queensland Rugby League (QRL) Code of conduct, and I accept the consequences of failing to adhere to them.

Declaration

By signing this form, I declare that all information provided is true and accurate to the best of my knowledge. I understand that this information will be added to the Queensland Tonga Rugby League (QTRL) database.

I also give permission to Queensland Tonga Rugby League and Hihifo Scorpions Rugby League Club to feature my image and/or name on their official social media platforms for promotional and community engagement purposes.

Parent/Guardian Consent If the participant is under the age of 18, a parent or legal guardian must sign this form to provide consent for participation and media use. *

Draw signature|Type signatureClear

Date *

Payment & Registration Info

Your$150 paymentcovers:

Playing kit & training tee
Tournament fees
Club fees

⚠️Refund Policy:All payments are non-refundable. The only exception is if your requested team is already at full capacity and we cannot accept your registration.

How to Pay

Standard Payment: Details will be emailed to you as soon as you submit this form.
Play On Vouchers: If you are redeeming a voucher, please email it directly to hihifoscorpions@gmail.com