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Register your interest to play Football with Queens Park FC in 2020
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Player Name
*
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Player Gender
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Female
Male
Age Group
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Little Lions (Male & Female, 5-7 years, DOB 2013-2015)
MiniRoos (Male & Female, 8-12 years, DOB 2008-2012)
Youth (Male & Female, 13-18 years, DOB 2007-2002)
Adult (Male & Female, 19+)
Player DOB
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MM
/
DD
/
YYYY
Parent/Guardian Name, if Applicable
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Contact Email
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Contact Mobile
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Your club in 2019
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Queens Park FC
Other
Didn't play
If Other, please provide the name of your previous club
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Additional comments
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