Highlands FC & SE Phoenix Women’s FC Academy Girls Only Football Clinic
Commencing Monday 19th April 2021 Renwick School, Mittagong, 5.30pm-6.45pm
Player Date of Birth
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Please provide details of any health issues of the player we should be aware of (leave blank if no health issues)
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Street Address Line 2
Postal Address if Different to Home Address
Parent/Carer Telephone Number
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Under 8 and/or Under 9
Under 10 to Under 12
Length of Program (i.e. 20 weeks)
Term Program (i.e. 10 weeks)
Short Program (i.e. 5 weeks)
BSB: 012 709
with player's name as the reference.
Any Enquiries to Norm Boardman email@example.com or 0407037883
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