Phoenix Arts and Sports Club

First Name*

(max 30 characters a-z and A-Z)

Last Name

(max 30 characters a-z and A-Z)

Date of Birth*

Day: Month: Year:

Gender

Male Female Others

Parent's Name

(max 30 characters a-z and A-Z)

Occupation

(max 30 characters a-z and A-Z)

Email Id*

(eg:123@mail.com)

Mob. Number

Emergency Contact Number *

School

(max 30 characters a-z and A-Z)

CPR No.

Address in Bahrain

Pincode

Nationality

(max 30 characters a-z and A-Z)

Course to Enroll in *

Preffered Days and Timings

Days

Time (Enter the days and time comma separated eg;mon,tue)

Is Transportation Required?

Yes No

* Fields are required.