Balbriggan C.C. Registration Form

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Please take a moment to fill out the registration form for the club Kid's Summer Camp!

* Indicates required question

Child's Name *

Your answer

Child's Date of Birth *

MM

/

DD

/

YYYY

Gender *

Female

Male

Other:

Are there any medical Issues we need to be aware of? *

Your answer

School Attended? *

Your answer

Class for 2022/23 *

Your answer

Name of Parent(s) Or Guardian(s) *

Your answer

Phone Number(s) *

Your answer

Email Address(es) *

Your answer

Do you consent to pictures of matches being used on the clubs website and social media pages? *

Yes

No

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