Melvindale Soccer Club — Registration

Player

Player first name * Player last name *

Date of birth *

Age group *

Parent / Guardian

Full name * Email * Phone *

Emergency contact

Name * Phone * Medical notes (allergies, conditions — optional)

Payment

Select an age group above

zelle@example.com

Send this amount via Zelle to the contact above, using your player's full name in the memo. Then enter the confirmation number Zelle gave you below — Registration will not be be completed without full payment.

Zelle confirmation number (leave blank if paying later)

Please fill in all required fields.

You can also pay later — just complete registration now.

⚽

You're registered

Thanks! We've received your player's registration. Registration will be completed upon receiving full payment.

Club Name

Player

Parent / Guardian

Emergency contact

Payment

You're registered