COPDEM FC

COPDEM FOOTBALL PLAYERS REGISTRATION FORM

First Name(Required)

Surname(Required)

Date of Birth(Required)

COPDEM Membership Registration Number(Required)

You MUST be a member of COPDEM to be a COPDEM football registered player, please enter your COPDEM membership registration number here. If you have not yet registered as COPDEM member, go to this link: www.copdem.org/register to register and get your COPDEM membership registration number, and then come back here to complete your registration as a football player.

Address(Required)

Street Address Address Line 2 City State / Province / Region Country

Gender(Required)

Please upload your photo(Required)

Accepted file types: jpg, png, pdf, Max. file size: 50 MB.

Player E-mail(Required)

Player Phone Number(Required)

Player's Guardian or Parents Full Names(Required)

First Last

Player's Parents or Guardian Phone Number(Required)

Player Team Group(Required)

Team Playing Position(Required)

Goalkeeper

Defender (Centre-back, Sweeper, Full-back, Wing-back)

Midfielder (Centre midfield, Defensive midfield, Attacking midfield, Wide midfield)

Forward (Centre forward, Second striker, Winger)

Height(Required)

Height in inches, for example 6'10

Weight(Required)

Weight in Kilograms (kg), for example 70kg

Your Jersey (Shirt) Size(Required)

Boot Size(Required)

Bank Account Number(Required)

Name of Bank(Required)

Account Name(Required)

Comments/Remarks/Or Any other thing we should know about you

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COPDEM FOOTBALL PLAYERS REGISTRATION FORM

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