Club Name
Ex. La Viola Fleur De Lis

Club Short Name
Ex. LVL

Club Full Name. Note that, this will be your actual club name!

Email-Address

Club Logo [Image Type: PNG, Background Removed, Max Size: 1 MB, Aspect Ratio: Square]
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Owner Name

Owner Contact Number

Owner Facebook ID Link
Input using one of these formats
Format 1: https://www.facebook.com/shanto.nadim.mahmud
Format 2: https://www.facebook.com/profile.php?id=100005735024119
Format 3: https://www.facebook.com/share/14FYk248PE/

Password
[Min. length: 8, Max. Length: 12]