Benfleet Summer Shootout: Registration Form

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Benfleet Summer Shootout: Registration Form

Once you've completed this form you will receive a confirmation email with a link to go in and pay the registration fee. Please note we will reserve you a space on completion of this form, but your booking is not confirmed until you have completed the payment.

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* Indicates required question

Your Name *

Your answer

Phone Number *

Your answer

Email Address *

Your answer

Club Name *

Your answer

Your Age Group for 2022/23 Season *

Under 7

Under 8

Under 9

Under 10

Under 11

Under 12

Team Name (eg Lions, Tigers) *

Your answer

Current League (eg SEEPL) *

Your answer

Submit

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