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AFC Clifford Juniors 2022/23 Registration Form and Fees
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* Indicates required question
Full Name (First and Surname, no abbreviations)
*
Your answer
Age Group
*
U5
U6
U7
U8
U9 Boys
U9 Girls
U10 Boys
U10 Girls
U11 Boys
U11 Girls
U12 Boys
U12 Girls
U13 Boys
U13 Girls
U14 Boys
U14 Girls
U15 Boys
U15 Girls
U16 Boys
U16 Girls
School Year group from September 2022
*
Reception
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Date of Birth (DD/MM/YYYY)
*
MM
/
DD
/
YYYY
Country of Birth (actual country i.e. England not UK)
*
Your answer
Nationality
Your answer
Address (line 1)
Your answer
Address (line 2)
Your answer
Address (line 3)
Your answer
Postcode
Your answer
Home Tel:
Your answer
If address is different from last year please check the box below
Different address to last year
Parent's email address
*
Your answer
Has (or is) the player been registered with another club in the past 12 months?
Yes
No
Clear selection
If so, please state the FAN number if known:
Your answer
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