CLUB REGISTRATION FORM REGISTRATION FORM Step 1 of 4 25% Step 1 - Student DetailsFirst Name(Required) Surname(Required) DOB(Required) DD slash MM slash YYYY Parent/Guardian First Name(Required) Parent/Guardian Surname(Required) Address(Required) Suburb(Required) Post Code(Required) Contact No.(Required)Email(Required) Any Medical Condition staff should be aware of which may impact on your child's training Step 1 - Student DetailsContact 1 (Full Name)(Required) Relation(Required)ParentSiblingGrandparentsUncle / AuntOther RelativeFriendPhone(Required)Contact 2 (Full Name)(Required) Relation(Required)ParentSiblingGrandparentsUncle / AuntOther RelativeFriendPhone(Required) Step 3 - Class SelectionHave you paid a registration fee * No Yes Select Term(Required)Term 1Term 2Term 3Term 4HolidaysSelect Term(Required)Term 1Term 2Term 3Term 4HolidaysSelect ClassWeekly ClassesPrivate ClassesSelect 1 Class Day(Required)MondayTuesdayWednesdayThursdayFridaySaturdayHolidays / Other Step 4 - AcknowledgmentCommentsConsent(Required) By ticking this box, I acknowledge that the above information provided to Rising Tekkers Soccer Club is accurate and correct and accept the terms and conditions provided.