Mens/Ladies Registration Form
After filling the details click on the SUBMIT button.
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indicates required fields
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Your Name:
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Your Surname:
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Date of Birth:
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Medical Conditions:
One Session per Week - R400.00 per Month:
One Session
Two Sessions per Week - R500.00 per Month:
Two Sessions
Three Sessions per Week - R600.00:
Three Sessions
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There is a once off payment of R300.00 to register:
Rebel Soccer Kit or T-Shirt Included
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E-Mail Address:
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Cell Number:
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Venue:
Zoo Lake Sports Club
SummerWay Soccer Fields
After filling the details click on the SUBMIT button.
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