Wufoo

Player Registration

North Lakes Soccer Club Player Registration & Contact Details

Player Status *
Never played for North Lakes previously Existing player at North Lakes

Has the player previously played for North Lakes Soccer Club?
Player's Name * First Last
Enter the name of the player. If you are pre-registering a child, please enter the child's name here.
Player's Date of Birth * DD / MM / YYYY
Gender *
Male Female
Residential Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Please record the player's residential address.

No PO boxes please.
Home Phone Number *

Enter Home Phone number of the player.
Mobile Phone Number

Please enter an additional contact phone number.
Email Address *

Your email address will be used in correspondence from club officials and coaches.
Parent's Name
(if player is under 18 years of age) First Last
If this registration is for a child, please enter the Parent's Name in the space provided.
Signature
Agree to Club Rules *
I hereby acknowledge that I have read and agree to the club rules & regulations as laid out on this website.

Rules of the Club can be found
here
Registration Fee Paid
Paid Date
Receipt Number
Payment Method
Shorts
Socks
Club Official
Do Not Fill This Out