REGISTER | Longsight Eagles Fc

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BOYS PLAYER REGISTRATION FORM

Current Team Age*

Child's First name*

Child Last name*

Child's Date of Birth*

Day

Month

Year

Nationality*

Football Association Number FAN number (Personal player ID code, if ever previously registered with a grassroots club)

Parent/Carer Full Name*

Parent/Carer Date of Birth*

Day

Month

Year

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Parent Email*

Parent Phone Number*

Current School*

Does your child have any medical conditions*

Medical conditions (essential information to fitness, behaviour or health performance, which may be of relevance)

Does your child recieve free school meals?*

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