New Members Registration for Winter Season 2019

What age is the player turning in 2019*
Please enter a number from 4 to 60.
Are you Parent, Guardian or Player?*
Please select the option inorder to load the correct forms.
Players First Name*
Players Surname*
DATE OF BIRTH*
PLAYERS NATIONALITY
CONTACT NUMBER*
EMAIL*
SCHOOL
MOTHER FULL NAME
First Last
MOTHER MOBILE NUMBER
MOTHER EMAIL ADDRESS
ADD TO DATABASE
FATHER FULL NAME
First Last
FATHER MOBILE NUMBER
FATHER EMAIL ADDRESS
ADD TO DATABASE
ADD TO DATABASE
PLAYERS PHYSICAL ADDRESS 1
PLAYERS PHYSICAL ADDRESS 2
PLAYERS PHYSICAL ADDRESS 3
CITY
POSTAL CODE
IN EVENT OF EMERGENCY CALL NUMBER*
AGE GROUP REGISTERING*
Where player is applying for RCLFA, Please email 4 x colour passport photographs, a certified copy of the players unabridged birth certificate and certified copy of moms ID/passport. Where player is applying for INTERNAL DAINFERN league please attach certified copy of Birth Certificate or passport. These documents should be emailed to info@dainfernlions.co.za
On submission of this form I hereby agree to familiarise myself with and abide by the Dainfern Lions Football Club’s rules and regulations and those of any ruling bodies to which it may affiliate. These rules are displayed on the notice board at the Dainfern pavilion. In addition I give full proxy and indemnify the team manager/coach to undertake any steps required in the event of an emergency of any kind.
I accept the once-off mandatory R1000.00 fee for members League fees, admin, kit and card.*
- Yes, I accept
CAPTCHA