Karachi United - Youth Registration Form
Programs - starting August 2nd 2017

1. PAD Park (Clifton)

Registration fees: Rs. 6000

-Toddler Program (boys & girls) 2.5 to 4 years. Monthly fees: Rs. 3000. Once a week.
- Ages 4+ to 8 years (boys & girls). Monthly fees: Rs. 5000. Thrice a week
- Ages 8+ to 18 years (boys only). Monthly fees: Rs. 5000. Thrice a week
- Ages 8+ to 18 years (girls only). Monthly fees: Rs. 3500. Thrice a week

2. Hill Park - Jinnah Lawn

Registration fees: Rs. 1500

- Ages 4+ to 8 years (boys & girls). Monthly fees: Rs. 3500. Thrice a week
- Ages 8+ to 18 years (boys only). Monthly fees: Rs. 3500. Thrice a week

3. Karachi United Stadium- Clifton

Registration fees Rs 6000
-Ages 14 - 20 years old (boys only) Monthly fees: Rs 5000
-Days: Monday, Wednesday, Saturday
-Timings 6.30pm to 8.30pm

Parents & Players are requested to provide correct information. Information provided will only be used by Karachi United -

If you have any questions regarding the form please contact us on:
Youth Operations Manager: 0324-292-1625
E-mail: youth@karachiunited.com

Please read the Risk Release Agreement ( http://karachiunited.com/wp-content/uploads/2017/08/Release-Agreement_Web92.pdf ) before filing out this form.

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Player Information
Players First Name
Your answer
Players Last Name
Your answer
Date of Birth
dd/mm/yyyy
Your answer
Age
Your answer
Gender
School
Your answer
Players e-mail address
Your answer
Players mobile phone number
Your answer
Land line number
Your answer
Postal Address
Your answer
Parent Information
Fathers full name
First-Middle-Last
Your answer
Occupation
Your answer
Organization
Your answer
E-Mail address
Your answer
Mobile Phone Number
Your answer
Mothers full name
First-Middle-Last
Your answer
Occupation
Your answer
Organization
Your answer
E-Mail address
Your answer
Mobile Phone Number
Your answer
Name of Emergency Contact- Other than Parent
Your answer
Emergency Contact Mobile Phone Number
Your answer
Medical Information & Release Agreement (parents are required to read the release agreement)
Players Doctors Name
Your answer
Doctors Contact Number
Your answer
Has the player been vaccinated against tetanus in the last year
-if not, please make sure your child is vaccinated against tetanus
Players Blood Group
O+/-, A+/-, B+/-, AB+/-
Your answer
Does the player suffer from any medical condition
Your answer
How did you hear about the Karachi United Youth Program
Do you authorize Karachi United to take pictures of your child at events that take place during the youth program for use on Karachi United's social media?
Have you read, understood and agree to the contents of the Risk Release agreement?
The Risk Release agreement has to be read and agreed by player's parent/guardian. This is required for all Youth players at Karachi United.
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