Registration form

Child / Player’s Name
Sex
Address
Date of Birth
Weight
Height
Name of SchooL
School Grade
Medical Problem(s) (If any)
Notify family Doctor
Emergency Contacts (+260)
Preferred mode of communication: Tick Appropriate




If interested in Volunteering, please tick Appropriate






Parent / Guardian’s Name
Mobile: (+260)
WhatsApp
Email
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At Bank of Zambia Sports Complex (Kelvin Siwale Rd, Showgrounds)

Annual Membership Fee: ZMW 800.00 ( Incl: Training Jersey)
Monthly Subscription: ZMW 700.00
Day & Time: Saturdays 08:00hrs to 11:00hrs

At Waterfalls Mall Malmat SEA Arena

Annual Membership Fee: ZMW 800.00 ( Incl: Training Jersey)
Monthly Subscription: ZMW 700.00
Day & Time: Tuesday & Thursday 16:00hrs to 18:00hrs

At Waterfalls Mall Malmat SEA Arena & Bank of Zambia Sports Complex.

Annual Membership Fee: ZMW 800.00 (Incl: Training Jersey)
Monthly Subscription: ZMW 900.00 
Day & Time: Tuesday & Thursday 16:00hrs to 18:00hrs
                     : Saturday                       8:00hrs to 11:00hrs

FNB Acc. # : 62592641544 (Malmat Soccer Excellence Academy)


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