Registration Form | Athlete Coaching Management System

Date

Personal Information (Athlete)

Surname

Name

DOB (Date ofBirth)

Identitiy Document or Birth Certificate

School Details

School Name

School Grade

Medical Details

Medical Aid Details

Medical Aid Name & Number

Medical Aid Document / ID Card

Medical Background

Indicate any medical problems or issues that should be noted

GP Details

Doctor Name & Tel Nr

Payment and commitment structures:

Payment Type

Admin Fee R500 p/a (Included not optional)

Paid: Yes

Paid: No

Locker Fee R150 p/a (Optional)

Paid: Yes

Paid: No

Please complete the registration form below