Register - Primary Parent/Guardian Details

Name *

Surname *

Cell No. *

Home No.

Work No.

Relationship to player(s) *

E-mail *

Password must be at least 8 characters long and contain at least 1 capital letter, number and symbol (!@#$%^&*?_~)

Password *

Confirm Password *

Residential Address

Steet Name & Number *

Complex, Building, Unit, Floor, Etc

Suburb

Province *

City/Town *

Code *

Postal Address

Copy from Residential Address

Steet Name & Number/P.O Box *

Complex, Building, Unit, Floor, Etc

Suburb

Province *

City/Town *

Code *

Image

Picture of parent/guardian (a selfie will do) *
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Note: Jpg/Jpeg only! Image must be at least 200 pixels wide and at least 200 pixels high. Maximum file size is 10MB. However, the smaller the file size the quicker the upload.

Tuesdays	4:30pm – 6pm
Thursdays	4:30pm – 6pm
Game Days	Whole Day