Club Fee Payment Request

Club Fee Payment Request

2025 Club Fee Payment
1. Register and Pay insurance on Mysideline

2. Pay remaining balance and apply FairPlay voucher.

ONE CHILD PER FORM

EMAIL COPY OF FAIR PLAY VOUCHER TO TREASURER BEFORE COMPLETING THIS FORM

If you have any questions, need help with a payment plan or applying for Fairplay Vouchers email hdjrltreasurer@gmail.com
PARENT/ GUARDIAN NAME

First NameLast Name
Parent Contact Phone*
Parent E-mail*
example@example.com
Player Details *
Have you paid your NRL Insurance on MySide Line?*

YesNo
https://profile.mysideline.com.au/register/clubsearch
Accept Code of Conduct?*

YesNo
Comments / Questions:

My Products*

Club Registration (after photos disc.) Product Image

Club Registration (after photos disc.)

$225.00AUD

Enter coupon

Total

$0.00AUD

Payment Methods

Credit Card

Apple Pay

Should be Empty: