Soccer Registration Form

MRFA REGISTRATION

MICHAEL REDA FOOTBALL ACADEMY
You will need to fill out one registration per child. At the end of the regsitration form you will be taken to our payment portal. Registration will not be completed unless payment is made.

If you have any issues with this registration form please E-Mail us: MichaelRedaFootballAcademy@outlook.com
CHILD INFORMATION:
Child Name

First NameLast Name
Birth Date

DayMonthYear
Male/Female
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name

First NameLast Name
Address

Street Address

Street Address Line 2

SuburbState

Post CodeAustralia
CONTACT NUMBER
Please enter a valid phone number.Format: (000) 000-0000.
E-mail
example@example.com
EMERGENCY CONTACT INFORMATION:
Emergency Contact Name

First NameLast Name
CONTACT NUMBER
Please enter a valid phone number.Format: (000) 000-0000.
UNIFORM INFORMATION
Shirt Size
Short Size
MEDICAL INFORMATION
Does your child have any Allergies OR any other Medical Conditions
REGISTRATION PAYMENT
Once you click the Submit Form below MRFA will receive your Registration.

PAYMENTS: PLEASE CALL MICHAEL REDA ON 0415 566 258 TO DICUSS PAYMENT OPTIONS.

PLEASE NOTE: Uniform is a one off payment included in this terms $250.00 Registration Fee.

Once a child has their uniform they will only need to pay for Session Fees which will be $220.00 (Per Term)
Should be Empty:

MRFA REGISTRATION