2024 SENIOR REGISTRATION OLD BENS FOOTBALL CLUB

SENIOR REGISTRATION FORM 2024

PLAYERS 18 AND OLDER ONLY
OLD BENS FOOTBALL CLUB

NOTE: Forms submitted without Proof of Payment or by player still owing subs from the previous season, WILL BE REJECTED.
If you want to pay by credit card, please follow the following link, and make sure to RETURN TO THIS FORM AFTER PAYMENT to complete and submit your registration.

https://pay.yoco.com/old-benonians-sports-club
Player's Details*

NameSurname
Player’s Identity Number as on ID document (without a complete, valid ID number, the registration will be rejected - a birthdate is not sufficient)
Should player not be a SA citizen - and do not have an ID number, please supply the player's Passport number
Player’s Date of Birth*

MonthDayYear
Date
Player's email address*
example@example.com
Player's cell phone number*
Adult SmallAdult MediumAdult LargeAdult XLAdult XXL
REQUIRED DOCUMENTATION:

PLEASE NOTE: The form cannot be submitted without this documentation
Copy/clear photo of ID*

Cancelof
Photo of player (HEAD AND SHOULDERS ONLY against LIGHT COLOURED SOLID BACKGROUND - LIKE AN ID PHOTO PLEASE - 3 X 4 PORTRAIT STYLE) - the registration will be rejected if the photo is not according to specifications*

Cancelof
Clearance certificate (only if player was registered with another club in 2023 or before)

Cancelof
If you were previously (in last 5 years) registered at another club, please supply us with the name of that club and the region where it is located
Example - Bonaero, Kemptonpark
EARLY BIRD SPECIAL: R2500 if paid by 28 February 2024NORMAL REGISTRATION: R2750 - this may be paid in 3 instalments as follows: R1750 upon registration, then R500 per month for the two months thereafter. Note however that registrations and payment after 2 March will not be guaranteed placement in a team.
CLUB BANKING DETAILS

OLD BENONIANS SPORTS CLUB NPC

Nedbank Current account

Branch number: 198765

Account number: 1903001188

Reference: FC, Players name and age group eg. FC SAM COHEN SENIORS
PROOF OF PAYMENT: No registration will be processed without payment.*

NOTE: IF THIS IS NOT YOUR ACTUAL POP YOUR FORM WILL BE DELETED AND YOU WILL NOT BE REGISTERED
Cancelof
Coaching a junior teamDoing a referee' s courseNone of the above, thank you
CONDITIONS

If monthly fees are outstanding at any stage the players card will be withdrawn and he/she will be unable to participate in matches until the account is brought up to date. If there are any mitigating circumstance please come and discuss directly with the Committee. .
All Payments are to be made into the Club's bank account via EFT, or via card payment at the club.

The club Treasurer, Committee Members, Coaches & Managers ARE NOT allowed to receive any monies in the form of cash payments from players/parents for Registration, etc.
COVID 19

In the event that a Government lockdown occurs, as a registered member of OBFC, you will be required to abide by any and all lockdown policies and procedures set out by our local football authorities and the Government.
OBFC will not be held liable for the loss of training time and/or scheduled league matches.
I accept the Old Benonians Football Club's (OBFC) conditions
AGREEMENT

I hereby agree that:

I will inform the coach of any physical disability or ailment that may affect my own safety or that of my child, or any other player.
I will learn the rules of the game and the policies of the league.
I will be a positive role model for other players, spectators and children and encourage sportsmanship by showing respect andcourtesy, and by demonstrating positive support for all players, coaches, officials and spectators at every game, practice or tournament that the Club is involved in. Should I be in disagreement with any official I will never question or confront them at the game field or during the game, and undertake to speak with them in private at an agreed upon time and place. The contents of such discussion will remain private unless either or both parties would like to present these contents to the relevant Chairperson.
I will not interfere in team selections and will respect the autonomy of the coach in this matter.
I (and my guests) will not engage in any kind of unsportsmanlike conduct with any official, coach, player, or parent such as booing and taunting, refusing to shake hands or using profane language or gestures.

I will always be proud of being part of the Club and uphold its name as a representative.
I will abide and support the constitution of the Club, therefore commit myself to pay my subs and registration fee as I have indicated on the payment options attached.

I hereby consent and authorize the duly elected officials to act on my behalf during the 2024 football season.
I am aware that neither the Club nor its officials accept responsibility for any loss, injury and/or damage that I or my property suffer whilst engaging in any football activity during the 2024 season. I waive any right that I may have to claim compensation against the Club or any of its officials/members in respect of any loss, injury and/or damage incurred whilst engaged in any football activity, howsoever arising and whether as a result of negligence or otherwise, and I indemnify them against all claims.
I have read, understood and accept the conduct expected of me as outlined above, and give consent to the club to use my personal information for the intended use to run the club.
POPI ACT COMPLIANCE :

I understand that Old Bens utilise all personal information obtained to effectively and efficiently run the functions of the club. I also understand that Old Bens endeavour to follow the POPI Act and the POPIA Policy of the club (available on request).
I Hereby confirm that all information provided to Old Bens Football Club with this Registration Form is correct and understand that the Annual Registration Fee, subscription fees and any prior outstanding fees must be paid upto date, in order to be registered, practice and participate in matches for the 2024 season.
In signing this form, I agree to abide by the constitution and code of conduct.
I confirm that the player does not suffer from any ailment which may affect his / her safety whilst taking part in practice or the game of Football.
Signature of Player *

Clear
Date

MonthDayYear
Date
Should be Empty:

SENIOR REGISTRATION FORM 2024

OLD BENS FOOTBALL CLUB

REQUIRED DOCUMENTATION: