Riverside FC Registration

Riverside Football Club

Member Registration Form
Registration Type*
How many players would you like to Register?*
Player Details

Player #1
1. Player Name*

First NameLast Name
1. Preferred Name
If Applicable
1. Birth Date*

DayMonthYear
1. Gender*

MaleFemale
Current Date

DayMonthYear
ID No:*
Please enter ID number.
SA CitizenForeign
Based on the information provided this player should play in the following Age Group & Division:
Age Group:
Division
T-Shirt / Kit Size*
Age
Based on Birth Year
1. Players Phone Number*
Please enter a valid phone number.
1. Players Email Address
example@example.com
1. Upload Player Photo*
1. Please upload a certified copy of the players original Birth Certificate or South African ID document.*

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1. Please upload copy of the players latest School Report. (for Age Verification Purposes)*

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1. Please upload PREVIOUS club transfer release letter *

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Player Details

Player #2
2. Player Name*

First NameLast Name
2. Preferred Name
If Applicable
2. Birth Date*

DayMonthYear
2. Gender*

MaleFemale
2. Current Date

DayMonthYear
2. ID No:*
Please enter ID number.
SA CitizenForeign
2. Based on the information provided this player should play in the following Age Group & Division:
2. Age Group:
2. Division
2. T-Shirt / Kit Size*
2. Age
Based on Birth Year
2. Players Phone Number*
Please enter a valid phone number.
2. Players Email Address
example@example.com
2. Upload Player Photo*
2. Please upload a certified copy of the players original Birth Certificate or South African ID document.*

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2. Please upload copy of the players latest School Report. (for Age Verification Purposes)*

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2. Please upload PREVIOUS club transfer release letter *

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Player Details

Player #3
3. Player Name*

First NameLast Name
3. Preferred Name*
If Applicable
3. Birth Date*

DayMonthYear
3. Gender*

MaleFemale
3. Current Date

DayMonthYear
3. ID No:*
Please enter ID number.
SA CitizenForeign
3. Based on the information provided this player should play in the following Age Group & Division:
3. Age Group:
3. Division
3. T-Shirt / Kit Size*
3. Age
Based on Birth Year
3. Players Phone Number*
Please enter a valid phone number.
3. Players Email Address
example@example.com
3. Upload Player Photo*
3. Please upload a certified copy of the players original Birth Certificate or South African ID document.*

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3. Please upload copy of the players latest School Report. (for Age Verification Purposes)*

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3. Please upload PREVIOUS club transfer release letter *

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Coach Details
Coach Name*

First NameLast Name
Preferred Name
If Applicable
Gender*

MaleFemale
Birth Date*

DayMonthYear
ID No:*
Please enter ID number.
Which age group will you be coaching?*

U6/7U8/9U10U11U12U13U15U171st Team2nd TeamLadies
T-Shirt Size*
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
3. Upload Coach's Photo*

Family Details
Address*

Street Address

Street Address Line 2

CityState / Province

Postal Code
Mother*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Add to WhatsApp Group
E-mail
example@example.com
Father*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Add to WhatsApp Group
E-mail
example@example.com
Next of Kin / Legal Guardian

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Contact: Incase of Emergency*

First NameLast Name
Relashionship*
Wife / Girlfriend / Mother / Father etc.
Phone Number*
Please enter a valid phone number.
Indemnity & Consent Confirmation
1. Do hereby indemnify and hold harmless Riverside Football Club and Riverside Sports (hereinafter referred to as “the Club”) against any claim as a result that my child may sustain by virtue of any conduct, transport arrangements, sports injury and/or disease which may arise whilst my aforementioned child participates in sport for and on behalf of the club.
2. I further agree to pay as liquidated damages to the Club the amount of money imposed on the Club as a fine (or such pro-rata share as the Club Committee may determine), by any competent body which shall have the authority to impose such fine as a result of the misconduct of either myself and/or my child or any other member of my family, of whose misconduct I acknowledge the Club Committee to be the sole and absolute judge.
3. I also understand that notwithstanding the fact that I have registered my child with Club, the Club cannot guarantee that my child will play a league match each week. No refunds are done for members who decide to leave the club.
4. I consent to personal information of me and my child being used for registration purposes. I also consent to the use of photographs of myself or my child in his/her capacity as the Club member and related to football, being used by the Club on electronic and other platforms.
5. I have read the Clubs Code of Conduct and agree to abide by it and to take all reasonable steps to ensure that my child abides by the requirements of the Code of Conduct.
6. I understand the Government Covid-19 regulations as stipulated in Gazette and will ensure that my child and any family member attending football training/matches will abide by these rules/regulations.
7. By accepting this Club Registration Form, the player/parent or guardian (if the player is under the age of 18 years old), confirms that they have read and are fully acquainted with the Constitution, Rules and Regulations of The Riverside Football Club and certifies that all information provided above is true and correct, and acknowledges that any incorrect and / or false answer(s) will render this registration NULL and VOID at the sole discretion of The Riverside
  Football Club.
I have read, understood, and accepted the Indemnity & Consent.

Make a Payment

Use the Zapper Code below to make payment
ANNUAL FEES

Single Membership (1 Player)

R1800.00 for the season

(Includes Riverside Sports Club Membership & Parking Disk)

You can pay using the Zapper Code or Button below

or you can make a Bank Deposit

Banking Details:
Account Name: Riverside Football Club
Bank: First National Bank
Acc #: 630 369 936 31
Branch Code: 210835
Reference: Player's name, Player Division
ANNUAL FEES

Family Membership (2 Players) + (1 Adult)

R3600.00 R3200.00 for the season (Save R400)

(Includes Riverside Sports Club Membership & Parking Disk)

You can pay using the Zapper Code or Button below

or you can make a Bank Deposit

Banking Details:
Account Name: Riverside Football Club
Bank: First National Bank
Acc #: 630 369 936 31
Branch Code: 210835
Reference: Player's name, Player Division
ANNUAL FEES

Family Membership (3 Players) + (1 Adult)

R5400.00 R4200.00 for the season (Save R1200)

(Includes Riverside Sports Club Membership & Parking Disk)

You can pay using the Zapper Code or Button below

or you can make a Bank Deposit

Banking Details:
Account Name: Riverside Football Club
Bank: First National Bank
Acc #: 630 369 936 31
Branch Code: 210835
Reference: Player's name, Player Division
Upload Payment Confirmation

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Riverside Football Club

Player Details

Player Details

Player Details

Coach Details

Family Details

Indemnity & Consent Confirmation

Make a Payment