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Monday, January 8, 2024

NLCL UNDER 19 COMMUNITY CUP PLAYER


REGISTRATION FORM

Approval Status Not Started

NAME OF PLAYER Roshaun Doobay

ADDRESS #8 Diamond Crescent


Cunupia

Email doobayroshaun3@gmail.com

DATE OF BIRTH Friday, September 29, 2006

AGE 17

SEX MALE

PHONE # (868) 732-6063

NAME OF CLUB Soccer Made Simple

MOTHER'S NAME Rowena Rawlins-Doobay

PHONE # (868) 684-5074

FATHER'S NAME Stephen Doobay

PHONE # (868) 725-5318

OTHER EMERGENCY CONTACT Solange Doobay

RELATIONSHIP Sister

PHONE# (868) 791-4188

ATTENDING SCHOOL Queen’s Royal College

CLASS FORM 5

DID YOU WRITE SAT'S? NO

DID THE PLAYER REPRESENT ANY NO


OTHER TEAM IN THE LAST
TOURNAMENT?

1
ARE YOU INTERESTED IN ANY OF THE SCHOLARSHIP PROFESSIONAL
FOLLOWING?

MEDICAL INFORMATION
CONSENT (PLAYER 18 +)
PARENT / GUARDIAN CONSENT (18 & UNDER)
I HAVE CONSENTED FOR MY SON /DAUGHTER / OTHER
TO REGISTER AS A PLAYER AND, AGREE TO ABIDE BY
THE RULES AND CONSTITUTION OF THE
ORGANIZATION

SIGNATURE OF PLAYER

SIGNATURE OF PARENT / GUARDIAN

File Upload

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