Liffeybank Academy Form - Register Interest

This data is collected for the sole purpose of registering your interest and providing details for contact tracing and COVID19 health screening prior to arrival at Liffeybank Academy Training sessions. All data will be held for for contact tracing purposes and Academy reference only.

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Email *
Parent or Guardian's Name *
Phone Number *
Player's First Name *
Player's Surname *
Player's Date of Birth *
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Session Date *
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