Coburg Junior FC Expressions of Interest
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Child's First Name
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Child's Surname
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Gender
Child's Date of Birth
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Previous Club? (If any)
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Which school do you currently attend?
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Parent's Name (1)
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Address
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Email
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Phone Number
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Parent's Name (2)
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Email
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Phone Number
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Would you be interested in helping out with any of the following roles?
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