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Expression of Interest 2024/25
Brighouse Town AFC
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Email
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Your email
Players Full Name
*
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Players Gender
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Male
Female
Other:
Date of Birth
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MM
/
DD
/
YYYY
Age Group
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Mobile Number
*
Your answer
Players Address and Postcode
*
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Current Club If Applicable
Your answer
Previous Clubs If Applicable
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Prefered Playing Position
*
Your answer
Second Prefered Playing Position
*
Your answer
Emergency Contact Name and Number
*
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Any other comments
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