New Child Regd form – Dummy

    Name of child*


    Date of Birth*

    School*


    Allergies if any

    Gender*
    MaleFemale

    Registering for*
    FootballBasketballMultisport

    Parent's Name*



    Parent's Phone Number*

    Address*


    Parent's Email ID*

    Emergency Contact's Name*
    Please provide an emergency contact name different from the parent listed above

    Emergency contact number*
    Please provide an emergency contact number different from the parent listed above

    Centre Name*



    Programs*


    No of playing days*



    No of Uniforms*

    Sign Off on Terms & Conditions*

    Sign Off on Waiver*

    We use photos/ videos from Great Goals programs in our promotion material. We would like your consent for your child's photos/ videos being used*

    Yes, I consent           No, I do not consent

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    You will receive an invoice within 48 hours. Please submit the payment along with a signed copy of the Invoice.