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CELTIC FC ACADEMY REGISTRATION
PAYMENT CAN BE MADE BY EFT
BANK DETAILS
COOGEE WHITE TIGERS
BSB 082 274
ACCOUNT 398 029 865
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Email
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Your email
PLAYER NAME (FIRST & SURNAME)
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Your answer
DATE OF BIRTH
*
MM
/
DD
/
YYYY
PLAYER JERSEY KIT SIZE
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Choose
Sz 6
Sz 8
Sz 10
Sz 12
Sz 14
Sz 16
Sz Small
TERM TO REGISTER
*
TERM 4 (SEPT TO DEC)
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PROGRAMS - TRAINING / GAMES (15 WEEK SUMMER PROGRAM)
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TRAINING x1 + SUNDAY GAMES $685
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EMAIL 1
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Your answer
EMAIL 2
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Your answer
Mobile 1
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Your answer
Mobile 2
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Your answer
ANY COMMENTS / OTHER (ie Medical, Active Kids #)
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