Charity Football Match Registration
Register to participate in the upcoming charity football match. Please provide all required information to complete your registration.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
*
-
Month
-
Day
Year
Date
Emergency Contact Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Preferred Team
*
Team A
Team B
No Preference
Preferred Playing Position
Please Select
Goalkeeper
Defender
Midfielder
Forward
No Preference
T-Shirt Size
*
Please Select
XS
S
M
L
XL
XXL
Do you have any relevant medical conditions or allergies we should be aware of? If yes, please specify.
Have you played football before?
Yes
No
Signature (please sign to confirm your registration and agreement)
*
Submit Registration
Submit Registration
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