Coburg FC Junior Registration 2019
Register to be a part of our Junior Program for 2019 - Enter your details below

$200 for boys
$100 for girls

Payment
Pay via cash at the club
Or
Send through via bank transfer
BSB 633 000 Acc No. 154 308 589 Acc Name Coburg Football Club Reference: 2019CJFC (Surname)

Player Details
Name *
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Surname *
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Address *
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Gender *
School *
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Date of Birth *
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Club Played at in 2018 (if any)
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Parent 1 Details
Name *
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Phone Number *
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Email *
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Address *
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Parent 2 Details
Name
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Phone Number
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Email
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Address
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