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Super Kickz
Registration for Free Football sessions
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Child's First Name
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Your answer
Child's Surname
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Your answer
Parent / Carer's First Name
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Your answer
Parent / Carer's Surname
*
Your answer
Postcode
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Your answer
Email address
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Your answer
Contact telephone number
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Your answer
Child's Gender
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Male
Female
Child's date of birth
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DD
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YYYY
Is your child on Free School Meals?
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Ethnic Monitoring
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Asian / Asian British
Black British / African / Caribbean
White British / Irish / European
Mixed Ethnicity
Arab
Other:
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