SENIOR REGISTRATIONS Senior Registration Form Personal Details Full Name* Your Email* Current Address* Date of birth* Are you a new member? YesNo Gender: MaleFemale Emergency Medical Details In an emergency, do you authorise EFLC to arrange any necessary medical treatment, where contact with an emergency contact has not been possible?* YesNo Do you have any medical conditions?* YesNo Please describe your medical condition.* Do you take any medication?* YesNo Please specify.* Do you have any allergies?* YesNo Please specify.* > I agree to the Consent to Take Photos.* YesNo I have read, understood, acknowledge and agree to the declaration including the warning, release, and indemnity included in the LWA Disclaimer. I have read, understood, acknowledge and agree to the EFLC Code of Conduct. Please choose your type of registration: Senior Men & WomenStudentSocialVeterans (45+ years)Life Members Pay Now Online (recommended)Pay Later Offline (you will have to get in touch with the club) A copy of your responses will be emailed to the address you provided. Stay Connected Join our mailing list for all the latest updates on games, competitions and more! Name Please enter your name. Email Address Please enter a valid email address. SUBSCRIBE Thanks for subscribing! Please check your email for more information! Something went wrong. Please check your entries and try again.