🏑 Player Registration Form Personal Information Full Name * Date of Birth * State of Birth * Select StateJohorKedahKelantanMelakaNegeri SembilanPahangPerakPerlisPulau PinangSabahSarawakSelangorTerengganuWilayah Persekutuan Kuala LumpurWilayah Persekutuan LabuanWilayah Persekutuan PutrajayaOther / Outside Malaysia Other State / Country of Birth * Gender * MaleFemale Blood Group * Select Blood GroupA+A-B+B-AB+AB-O+O- IC Number / Passport Number * Contact Information Residential Address * Home Contact No Mobile Contact No * Email Address * Education Name of School/ University * Standard / Form / Course * Emergency Contact Emergency Contact Person * Emergency Contact Number * Medical Information Medical History Membership Information Year Joining * Insurance Policy * YesNo Jersey Information Note: Jersey name usually uses the player's first name. Jersey Name * Jersey Size * Select SizeXSSMLXL2XL3XL Registration Fee Registration Fee RM 100 Shirt Fee RM 70 Shipping Fee RM 10 Programme * Monthly (4 Sessions)Monthly (5 or More Sessions)Beginner DevelopmentSchool Holiday CampGoal Keeper Total Payment RM 175 * Registration fee, shirt fee and shipping fee are compulsory. All payments made are non-refundable. I hereby confirm that all information provided is true and correct. Δ
