Bentleigh United Cobras FC Register for MiniRoos | Juniors | Youth
This is to register a player from 5 to 20 years of age
Player's Name *
Player's Surname *
Player's Year of Birth *
Player's Month of Birth *
Player's Day of Birth *
Player Gender *
Have you /Has your child played in a soccer team previously? *
What age group did they play in last year
What Club did the play for?
What grade did they play in
Contact Name *
Contact Surname *
Contact Mobile Number *
Contact Email *
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