REGISTER - ultimatefijicup

Soccer Player Booking Form

Please complete the form below to register your interest to play in the Ultimate Fiji Cup.

Note: This form is for players only.

Details required per passport.

TEAM NAME*

Are you a player?*

Player

Age Group*

I have read and agree *

Players Code of Conduct

Title*

Mr Ms

First Name*

Surname*

Nickname

Date of Birth*

Gender*

Female Male

Nationality*

Passport Number

Passport Expiry Date

Dietary Requirements

Mobile Contact*

Is Mobile contact the player?*

Yes No

If Mobile not player - who is it?

E-mail Address (Player)*

E-mail Address (Guardian)*

Address*

City / Suburb*

State*

Postcode*

I agree to abide by the booking conditions*

Yes