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Youth Registration (u11s / u12s)

Are you registering for 1 or 2 Children?
1 Child
2 Child

Player 1

Youth Team (Player 1)
Under 11s
Under 12s
Birthday
День
Місяць
Рік
Gender
Boy
Girl
Medical information
Yes
No

Allergies, conditions, medications etc. Which may impact on your health, welfare

Photo & Communications Consent
Yes
No

I am aware that my photograph or video image may be taken.

Club Communication
Yes
No

Please select this option to receive communications regarding club activities

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