Soccer Registration Form

Nairne Knights Soccer Club Registration Interest
Come and try afternoon 18th of March 3:30pm on the Nairne Primary School Oval
You will need to fill out one registration per child. Please note this is a registration of interest, once registrations are open you will receive more details.
CHILD INFORMATION:
Child Name*

First NameLast Name
Birth Date*

DayMonthYear
Male/Female*
0-12-34+
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
CoachingTeam ManagerTraining helperRefereeing
UNIFORM INFORMATION
Youth Shirt
Youth Shorts
Should be Empty:

Nairne Knights Soccer Club Registration Interest