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Langwarrin Soccer Club Player Registration
Please complete the following form to register for Langwarrin Soccer Club
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1
Players Name
*
This field is required.
First Name
Last Name
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2
Players Date of Birth
*
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Date
Year
Month
Day
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3
Is the player female and looking to play in an all girls squad?
YES
NO
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4
Parent / Guardian Name
*
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First Name
Last Name
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5
Parent / Guardian Contact Number
*
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Area Code
Phone Number
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6
Parent / Guardian Email Address
*
This field is required.
example@example.com
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7
Do you require a new playing kit for season 2021
Due to the 2020 season being cut short you may already have a players kit that can be used. As such the 2021 fees are reduced and do not include a playing kit. If you require a new playing kit then the cost is $50 and we will organise your sizing. (Sizing can be done on registration day)
YES
NO
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8
Would you like to order some supporter packs?
The supporters pack consists of a a drink holder plus a scarf or a beanie at a cost of $25 per pack. Please enter how many supporter packs you would like (0 for none)
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9
Other Information - Optional
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