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Soccer Player Personal Information
If you have 2 or 3 children, you will have to fill out and submit the form twice or thrice, respectively.

Gender*
Date of Birth

Parent/Guardian Information

Parent Relationship
Closest Location to you.*

Emergency Contact (Someone other than yourself)

Health Declarations

Please fill-up this form as required by the Government that will require you to declare any illness and provide information that will aid in contact tracing, should the need arise. Be sure that the information you give is accurate and complete. All the information submitted shall be encrypted, and strictly used only in compliance to the law, guidelines, and ordinances.

Income Qualification Check
To ensure our FREE Soccer Programs reach the children who need them most, we kindly ask parents/guardians to confirm that their household income aligns with the federal poverty guidelines (Visit this link to see if you qualify: https://aspe.hhs.gov/topics/poverty-economic-mobility/poverty-guidelines). If your household does not qualify but you would still love your kid(s) to participate, you can, but, you will be required to make a donation. Ndamba.org reserves the right to verify this information at any time.*

To donate, use the link below or the 'Donate' link at the top of this page.