Mens/Ladies Soccer Registration Form

Mens/Ladies Registration Form
After filling the details click on the SUBMIT button.

*indicates required fields

*Your Name:

*Your Surname:

*Date of Birth:

*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

*There is a once off payment of R300.00 to register:

Rebel Soccer Kit or T-Shirt Included

*E-Mail Address:

*Cell Number:

*Venue:

Zoo Lake Sports Club
SummerWay Soccer Fields

After filling the details click on the SUBMIT button.

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