Discount Windows Junior Football Club & Development Centre

INTERESTED PLAYER DETAILS FORM 2006/07 SEASON

PLEASE COMPLETE IN BLOCK LETTERS AND BLACK INK

PLEASE NOTE THIS IS NOT A SIGNING-ON FORM BUT A PLEDGE OF INTEREST

PLAYERS FORENAME : ......................................................................................

PLAYERS SURNAME: ............................................................................................

PLAYERS PREFERRED POSITION: ......................................................................

PLAYERS AGE: .......................................................................................................

PLAYERS D.O.B.: ..................................................................................................

PLAYERS SCHOOL: ...............................................................................................

PLAYERS ADDRESS: .............................................................................................

............................................................... POST CODE .............................................

PLAYERS MOBILE: ................................................................................................

PARENT / LEGAL GUARDIAN HOME TEL No: ...................................................

PARENT/LEGAL GUARDIAN MOBILE: .............................. ................................

PARENT/LEGAL GUARDIAN FULL NAME: ........................................................

PARENT/LEGAL GUARDIAN SURNAME: ...........................................................
 
IMPORTANT - EMAIL ADDRESS: ........................................................................

WOULD YOU AS A PARENT/LEGAL GUARDIAN LIKE TO BE A
COMMITTEE MEMBER/VOLUNTEER - YES / NO

PLEASE RETURN BY POST OR FAX TO THE ADDRESS LISTED BELOW
Discount Windows JFC, Unit 9 Binns Road, Binns Way, Edge Lane Retail Park, Liverpool L13 1EF

N.B. IF YOU DO NOT HAVE A PRINT FACILITY CALL THE TEL No BELOW
Tel: 0151 230 0001 Fax: 0151 230 0002