Registration Form
School *

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Surname *

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Age *

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Allergies *

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Payment Options *




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Mother's Name *

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Mother's Tel Work

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Mother's Email *

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Father's Tel Work

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Father's Email

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*

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Childs Name *

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Players Birth Date *

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Gender *

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T-Shirt size *






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*

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Mother's Tel Home

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Mother's Cell *

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Father's Name

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Father's Cell

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I, the Parent/ Gaurdian of the above mentioned child do hereby acknowledge that i shall have no claim whatsoever against Mc Sportz, Soccercise staff, Managers or any other staff member associated with the company, which may arise as a result of injuries, damage, or any loss of personal items whilst participating in the training sessions held at the above schools or any other organised events.