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Cú Chulainn Waterpolo Club Registration Form
Registration Form for 2023/24 season
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* Indicates required question
First Name
*
(If parent or guardian, fill in child’s details)
Your answer
Surname
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Address
*
Your answer
Postcode
*
Your answer
Contact Number
*
Please enter that of parent/guardian for junior players
Your answer
Email address
*
Please enter that of parent/guardian for junior players
Your answer
Parent/Guardian Name
(Required for Under 18)
Your answer
Do you need to complete a registration form for a second family member?
*
Yes
No
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