Online Football Registration for Raceview Soccer Club

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Register a New Player

Fields that are Highlighted in Yellow are Required

 

Player Details:

Title :
First Name : *
Middle Name : Please enter a middle name if you have one
Last Name : *
Preferred Name :
Date Of Birth : - -
Male / Female : *
Insurance Status :
Country of Birth :
Nationality :
Tick if aboriginal or Torres Strait Islander :
Medical Notes :
Password :
Confirm Password :
Password Hint :
Use the Hint to remind you of your password

Address Details:

Street : *
 
Suburb : *
State :
Postcode : *

Contact Information:

Home Phone Number : *
Work Phone Number :
Mobile Number :      Receive Club SMSs?   
Main Email Address :
Receive Club Emails?
2nd Email Address :
Receive Club Emails?

Emergency Contact:

First Name : *
Last Name : *
Phone Number :
Mobile Number :

Club Information:

Help Committee?
Be A Manager?
Be A Coach?
Be A Referee?
Preferred Playing Positions :
Goal Keeper : Defence : Midfield : Forward :
"Play With" Requests :

Previous Club: (Required if Player is Transferring from another Club)

Previous National Assn : (If not in Australia)
Previous Association : (If within Australia)
Previous Club :
Previous Reg No : (If within Australia)

Suspensions:

Are you currently Suspended?
Length of Suspension:
Issuing Organisation:

Parents Details:

Parents Title :
Parents Name :
Male / Female :
Parents Occupation :
Home Phone Number :
Work Phone Number :
Mobile Phone Number :      Receive Club SMSs?   
Main Email Address :
Receive Club Emails?
2nd Email Address :
Receive Club Emails?

Parents Title :
Parents Name :
Male / Female :
Parents Occupation :
Home Phone Number :
Work Phone Number :
Mobile Number :      Receive Club SMSs?   
Main Email Address :
Receive Club Emails?
2nd Email Address :
Receive Club Emails?

School Details:

School This Year : Please specify the school you currently go to
School Year : Please tell us the School Year you are in now
School Team?   Tick if you currently Play in the School Team

Additional Information:

Non Disclosure : YES if the Player does NOT want details disclosed to others in the Club Click for Explanation
Receive QCSA Emails : No if the Player does NOT want to receive emails from QCSA
Special Offers : No if the Player does NOT want to receive Special Offers from Football Administrators partners
Players Comments :









Online Registration System Designed, Built and Hosted by CalfordGreen Consulting 2007