Pitso Mosimane Soccer Clinics Registration - Pitso Mosimane Youth Football

Step 1 - PMSC Player Registration

Please fill in the complete form below to register your child for the pitso mosimane soccer camps. To register an additional child, you will need to first complete the process for the first child.

Player Details

Name

Surname

Age Group (based on year of birth)

Clinic Date

June/July 2025 Clinic October 2025 Clinic

PMSC Training Site (select one)

PMSC Boksburg PMSC Mamelodi PMSC Roodepoort

Parent / Guardian Details

Parent Name

Parent Surname

Contact Number

E-Mail

Medical Details

Medical Aid Name

Medical Aid Number

Main Member Name

Main Member Contact Number

Emergency Contact Name

Relation to Player

Emergency Contact Number

Allergies or Conditions

Step 1 - PMSC Player Registration

Step 2 - PMSC camp selection

PMSC Boksburg & Roodepoort Holiday Clinic

PMSC Mamelodi Holiday Clinic Fee

Step 3 - PMSC Payment Checkout