PLAYER EXPRESSIONS OF INTEREST
SUMMER SOCCER PROGRAM
Full Name
*
First Name
Last Name
Email:
*
(please enter your parent's email if you are under 18yrs)
Date of Birth:
*
-
Day
-
Month
Year
Contact Number
*
(or parents phone number if under 18yrs)
Format: 0000 000 000.
Team / Division Interest:
*
Please Select
Miniroos & Juniors
Youth
All Age Men
Over 45s Men
X-League
Girls / Ladies Team
Unsure
Are you currently registered with Regents Park Saints Football Club?
*
Please Select
Yes
No
Previous Club:
(N/A if you haven't played before)
How did you hear about us?
*
Submit
Should be Empty: