Documents
REGENTS PARK SOCCER CLUB INC.
CLUB PLAYER INFORMATION FORM
PLAYER SURNAME:……………………………………………………………………………………………….
GIVEN NAME:……………………………………………………………………………………………………….
ADDRESS:……………………………………………………………………………………………………………
……………………………………….........………………………………PC…………………………………........
PHONE:……………………………………………………MOBILE:……………………………………………....
EMAIL:………………………………………………………………………………………………………….........
AGE GROUP 2011:…………………………………..SELF REGISTERED ONLINE? Y N
Club last played at:……………………………………………………................…Year:………………………………
PARENT/GUARDIAN NAME:………………………………………………………...........…………………………
CONTACT NUMBER (BEST NUMBER FOR GAME CHANGES ETC):……………………………………………
EMAIL:……………………………………………………………………………………….………………………..
AGE GROUPS according to year of birth – players must register in their correct age group
2005 U6 1999 U12
2004 U7 1998 U13
2003 U8 1997 U14
2002 U9 1996 U15
2001 U10 1995 U16
2000 U11 1993-1994 Youth
I/we hereby agree to the conditions and rules as set out in the RPSC Constitution (available on the Club website). I/we acknowledge that the Executive Committee has the right to take whatever action they see fit to ensure these rules and conditions are adhered to by the player and parents/guardians.
Signed:……………………………………………………………………………….………………Player
Signed:……………………………………………………………………………………………….Parent/Guardian (if player under 18)
Date:…………………………………………………………………………………………………
Last Updated (Thursday, 30 December 2010 15:09)



