Cerebral Palsy and Frame Football  
This form has been created by Little Victories in the Community (CIC), in partnership with Barton Inclusive Football Club. Once you have completed this form, a coach from the organisation will contact you to provide further details of the sessions.
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Player name:
Player DOB:
MM
/
DD
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YYYY
Parent/carer name:
Parent/carer mobile:
Parent/carer email:
Are you able to attend Baysgarth Leisure Centre, Barton-upon-Humber 12-1pm on a Saturday for training sessions?
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