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Pitchero Club

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Registration Document

MAINDY CORRIES FOOTBALL CLUB

REGISTRATION FORM

PLAYERS NAME:

PLAYERS DATE OF BIRTH:

HOME ADDRESS:

CONTACT NUMBERS:
HOME
MOBILE 1
MOBILE 2

EMERGENCY CONTACT NAME AND ADDRESS AND TELEPHONE NUMBER :


MEDICAL CONDITIONS/ALLERGIES: eg Asthma, etc,

To register a player a copy of a birth certificate and a passport sized photograph are required.

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