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2021/22 Player Subscription (Split Payment)
2021/22 Player Subscription (Split Payment)
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Mini Belles
U7-U10 Development Squad
U8
U8 White
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U9 White
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U10 Blue
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U11
U11 White
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U12 Red
U12 White
U12 Blue
U13 Red
U13 White
U14 Sapphire
U14 Red
U14 White
U14 Blue
U15 White
U15 Blue
U16 White
U16 Blue
U18
Ladies 2nd
Ladies 1st
Name of Player
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First
Last
Player's Date of Birth
*
Day
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3
4
5
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7
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9
10
11
12
13
14
15
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17
18
19
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1920
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Home Address
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Street Address
Address Line 2
City
Post Code
Name of School
*
-
Name of Primary Parent/Guardian
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First
Last
Parent/Guardian Tel Number (Primary)
*
Parent/Guardian Email (Primary)
*
-
Name of Secondary Parent/Guardian
First
Last
Parent/Guardian Tel Number (Secondary)
Parent/Guardian Email (Secondary)
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Emergency Contact Name
*
First
Last
Relationship to Player
*
Emergency Contact Tel Number
*
-
Player Conduct
*
I have read and agree to the
Player Code of Conduct
Parent Conduct
*
I have read and agree to the
Parent Code of Conduct
First Aid
In the event of an injury to the player, I consent to basic first aid being administered by qualified coaches and managers
Photos
I consent to photos of the player being used for marketing/promotional purposes
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