Member Reg – Bedfordview Country Club

Create an Account / Login

Create a login for your account. You can then manage your profile, and orders easily in one place.

Username *

User Email *

User Password *

Confirm Password *

Member / Player Details

Input the details of the player here

Member's First Name *

Member's Last Name *

Date of Birth *

Member ID Number *

School Name *

School Grade *

Age Group *

Gender *

Female
Male

Upload ID or Birth Certificate *

Drop your file here or click here to upload You can upload up to 3 files

Please upload image of ID or Birth Certificate

Member Contact Details

Member's Phone *

Member's Email *

Member Residential Address *

Family Details

Mother's Name and Surname *

Mother's Cell Number *

Mother's Email *

Father's Name and Surname *

Father's Cell Number *

Father's Email *

Who should be on the BCC Football WhatsApp group? *

Medical Aid Name *

Medical Aid Number *

Do you have a sibling at Bedfordview Football?

Sibling Name and Surname *

Sibling Age Group *

FEES APPLICABLE DURING THE PERIOD BEGINNING FEBRUARY 2025 TO SEPTEMBER 2025.

It is not permissible for an applicant to participate in a section of the Club unless he/she is a member of the Club. 2025 FEES Full Membership R3700.00 On Registration R1 900.00 Balance R1 800.00 Sibling Discount (One or more siblings join) R3420.00 On Registration R1 900.00 Sibling Balance R1 520.00 Please note: Player card and kit will not be issued until full membership fees of R3700 has been paid All fees payable by 31st March 2025. BANKING DETAILS Bedfordview Country Club Soccer Account Number: 022634142 Business Current Account Branch: Eastgate Branch Code: 008505 Brance Code: 051001 (Electronic payments) Ref: Players full name & age group EG: John Smith U/7

Season Fees

Payment for Club fees will be made as follows? *

Full Payment Once Off
Two Scheduled Payments

Agreements

Terms and Conditions of Membership *I understand and agree to the Terms and Condition of Membership

PLAYERS Code of Conduct *I understand and agree to the PLAYERS Code of Conduct.

PARENTS Code of Conduct *I understand and agree to the Parents Code of Conduct.

Signature *Sign to indicate your understanding and agreement. Your signature indicates your agreement of BCC Football Terms and Conditions of Membership.

Emergency Contact Details

Emergency Contact Name and Surname *

Emergency Cell No *

Add Second Member

Add Second MemberDo you have a SECOND member you wish to add?

Second Member / Player Details

Second - Member's First Name *

Second - Member's Last Name *

Second - Date of Birth *

Second - Member ID Number *

Second - School Name *

Second - School Grade *

Second - Age Group *

Second - Gender *

Male
Female

Second - Upload ID or Birth Certificate *

Drop your file here or click here to upload You can upload up to 3 files

Please upload image of ID or Birth Certificate

Second Member Contact Details

Second - Member's Phone *

Second - Member's Email *

Add Third Member

Add Third MemberDo you have a THIRD member you wish to add?

Third Member Contact Details

Third - Member's First Name *

Third - Member's Last Name *

Third - Date of Birth *

Third - Member ID Number *

Third - School Name *

Third - School Grade *

Third - Age Group *

Third - Gender *

Male
Female

Third - Upload ID or Birth Certificate *

Drop your file here or click here to upload You can upload up to 3 files

Please upload image of ID or Birth Certificate

Third Member Contact Details

Third - Member's Phone *

Third - Member's Email *