GA SUPER CUP

PLAYER REGISTRATION FORM

Jackie Cadeem
Surname: ___________________________________ Other Names: __________________________

66 Lyndon Street Curepe

Address:_______________________________________________________________________________

04.10.2001 Nationality:_________________
Date of Birth:________________ Trinidadian Telephone No.___________________
1868-365-0922
Cadeem31@gmail.com
Email address:__________________________________________________________________________

19 Striker
Shirt No.__________ Playing Position: ___________________________________Height:__________ 5’7

allowed to represent a franchise team in the GA Super Cup) .

Signed: ___________________________________

13.04.2022
Date: ____________________________________ Franchise

Signatory: ____________________________________

Endorsement by Player:

I hereby consent to the above application and certify that the above particulars are correct. I agree to be bound by the
Rules of the GA Super Cup.

13.04.2022
Date: ______________________________

FOR OFFICIAL USE ONLY

League Commissioner Certificate:

I hereby certify that I have this day registered (name of Player) _________________________________________________

as a Player whose registration is now held by ___________________________________________________

(franchise name)

League Commissioner Signature:______________________________