REGISTRATION

Reading the Accidental Wavier and Release of Liability is mandatory

Registration Form

Name *

First Name

Last Name

Program *

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Contact Number *

(###)

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Date of Birth *

MM

DD

YYYY

School/College *

Standard *

Years of Football Played *

How did you hear about Bangalore City Football Club *

Friends

Family

Facebook

Instagram

Website

If you are under 18 please fill your parents contact information

Father's Name *

Father's Contact Number *

(###)

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Mother's Name

Mother's Contact Number *

(###)

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In an emergency when parent/guardian cannot be reached, please provide other contact:

Name *

Contact *

(###)

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Does your child have any medical condition(s) and or allergies? * *

If yes, please explain

The medical release document *

I have read the medial release document and I give my consent to the liabilities that may be involved in the training.

I agree

Thank you!

Are You Ready For
Total Football?

Join Bangalore City FC

+91 7848008800info@bangalorecityfc.com

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