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Football Set

First name * Please enter your first name

Surname * Please enter your surname

Date of Birth *

Please enter your date of birth

Email address * Please enter a valid email address

Phone number * Please enter your phone number

Please select the team you are trialling for *

Women's TeamMen's Team

Please select the team you are trialing for

Emergency conact (parent/carer full name) * Please enter your emergency contact name

Emergency contact number (parent/carer phone number) * Please enter the contact number for your emergency contact

Current school * Please enter your current school

Current football club * Please enter your current football club name

Which position do you play? * Please tell us which position you play

Which year are you due to start? *

September 2024September 2025

Please select an option

Do you have any medical conditions? *

YesNo

Please tell us whether you have any medical conditions

Please specify * Please specify your medical condition

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