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LANCASHIRE SPITFIRES

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FUTSAL
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FUTSAL
REGISTRATION FORM

Please provide the following information to register your child to play FUTSAL.

Player First name*

Player Last name*

Player Date of Birth*

Address inc Postcode*

Parent Contact Email*

Parent/Guardian Full Name*

Parent/Guardian Mobile Number*

Alternative emergency contact name*

Alternative emergency contact tel number*

Any medical conditions or allergies to declare?

Opt in to allow your child to be show on team photos online/social media

I acknowledge the following: Lancashire Spitfires will provide me with a full match day kit if competing in games. This is the responsibility of the player/parent. If lost or damaged you are responsible for the cost of £35. Should you decide to leave us then the kit must be returned to us.

File upload*

Parent/Guardian Signature

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