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First Name
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Date of Birth
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Phone Number
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Last Name
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Gender
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City
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Street Address
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Postal Code
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Email
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Password
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Parent Full Name
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Parent Phone Number
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Has the player participated in football before?
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yes
no
If yes, for how long?
Current or Previous Club (if applicable):
Preferred Position: (e.g., forward, midfielder, defender, goalkeeper)
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Does the player have any medical conditions we should be aware of? (Yes/No)
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yes
no
If yes, please explain
Does the player take any medication regularly?
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yes
no
If yes, please explain
Allergies (if any)
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I, the undersigned, give permission for my child to participate in the Girls Football Academy and confirm that all information provided is accurate.
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Date
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Additional Notes/Requests
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I shall abide by all the Rules and Regulations.
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