CELTIC FC ACADEMY REGISTRATION
PAYMENT CAN BE MADE BY EFT - WE ALSO ACCEPT ACTIVE KIDS VOUCHERS
BANK DETAILS
COOGEE WHITE TIGERS
BSB 082 274
ACCOUNT 398 029 865
Reference your Surname
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Email *
PLAYER NAME (FIRST & SURNAME) *
DATE OF BIRTH *
MM
/
DD
/
YYYY
PLAYER JERSEY KIT SIZE *
TERM(S) TO REGISTER *
Required
PROGRAMS - TRAINING / GAMES / HOLIDAY CAMP (BY TERM) *
EMAIL 1 *
EMAIL 2 *
Mobile 1 *
Mobile 2 *
ANY COMMENTS / OTHER (ie Medical, Active Kids #)
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