Registration Form
Welcome to the Registration for Coogee White Tigers Football Club & Celtic FC Soccer Academy.

This registration form covers ages from Under 3 to Under 15 year age groups - boys and girls - Winter/Summer & Academy Programs.

*Coogee White Tigers FC - Winter Season - April to August
Cubs $299
U6-12 $339
Includes playing kit (Jersey, Shorts, socks), Monday Pro Coaching, Saturday Games, End of season Trophy.

*Celtic FC Academy - 4 x programs run February to December., in line with school terms.
Includes playing kit (Jersey, Shorts, socks), Pro Coaching Monday/Wednesday & Game day, Sunday Games

Please complete this form and push "submit"when finished.

Payment is by EFT, Cash or Cheque.

Bank Details below:
Account Name: Coogee White Tigers FC
Bank: NAB
BSB: 082274
Account Number: 398029865
Please use "Surname" as reference

Providing you have entered the correct email address, you will be notified that your registration was successfully submitted to our Registrar.
TODAY'S DATE *
MM
/
DD
/
YYYY
PLAYER GENDER *
PLAYER FIRST NAME *
PLAYER SURNAME *
PLAYER DATE OF BIRTH *
MM
/
DD
/
YYYY
EMAIL *
SECONDARY EMAIL
MOBILE NUMBER *
SECONDARY MOBILE *
PREVIOUS CLUB / TEAM *
PLAYER CURRENT SCHOOL *
PLAYER AGE GROUP *
PLAYER KIT SIZE *
STREET ADDRESS *
SUBURB *
STATE *
POST CODE *
MEDICAL CONDITIONS
MEDICAL INFORMATION
PARENT/CAREGIVERS NAME *
RELATIONSHIP TO PLAYER *
CONTACT NUMBER *
PAYMENT METHOD *
RECEIPT/CHEQUE NUMBER
PAYMENT AMOUNT *
PAYMENT COMMENTS, ACTIVE KIDS VOUCHER NUMBER OR OTHER COMMENTS:
WOULD YOU LIKE TO VOLUNTEER? *
Required
Submit
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