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Hackney Women's Football Club
Email address *
This must be done by 31st August 2018 if you wish to be registered for the first match of the season.
Submission of a completed form means that you:

- agree to pay the appropriate fees as detailed in HWFC Fees 2018-19 (www.hackneywfc.co.uk)
- have read and understood the HWFC Constitution and Club Rules (www.hackneywfc.co.uk)
- agree to your details being stored on the HWFC secure database for the 2018-19 season

If you have any questions please e-mail the above address or call Lizzie Tucker on 07743 429 222.
Please select one box *
Required
All players must complete the table below to confirm their details.
Full name: *
Date of birth *
Postal address *
Please include post code.
Mobile number *
Confirm email address *
Medical information that should be known by HWFC *
Next of Kin contact details *
Please include full name and contact number.
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