REDBRIDGE REGISTER YOUR INTEREST FORM

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Dear Parents/Carer,

Thank you for registering for IMPACT FC REDBRIDGE! Please complete our registration form below.

Once completed you are welcome to attend our Saturday session.

Time: 10:00-11:30

Location: Caterham Avenue, Clayhall, Ilford, IG5 0QW

Ages: 5-12 Years Old

Any questions please contact our club secretary: Shani - 07932928990

Child's name *

Medical Information- If required please ensure any medication is with your child at training and matches *

School *

School Year *

Player DOB *

YYYY

Full Address: *

Emergency Contact 1 (Name, Number, Relationship) *

Emergency Contact 2 (Name, Number, Relationship) *

I consent to my child being photographed and filmed. I am aware that these images/videos may end up on social media. *

Yes

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