Redditch United Full-Time Football & Education Programme 2022/23 Registration Form
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First Name *
Surname *
Date of Birth *
MM
/
DD
/
YYYY
1st Line of Address *
City/Town *
County *
Post-Code *
Position *
Phone Number *
Current Education Status *
Current Education Status Continued
If you entered: 'at another college', 'on another football&education programme', or 'other', please provide us with more information on where you are currently at, if you are happy to do so.
Emergency Contact Name *
Emergency Contact Number *
End Of Form
You will receive a copy of your application to our Full-Time Football & Education Programme after submission.

*By submitting this form you agree to be contacted by Redditch United in regards to future Full-Time Football & Education Programme events, trials and open days.*
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