AFC Fylde Trial Registration Form
Player Name
First Name
Last Name
Players Date of birth
-
Day
-
Month
Year
Date
Age Group 2022/23 Season
Please Select
Under 16’s
Under 17’s
Under 18’s
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent Name
First Name
Last Name
Parents E-mail
example@example.com
Parent Mobile Number
Format: 00000000000.
Current team
Playing position
Please Select
Goalkeeper
Left back
Right back
Central Defender
Central midfielder
Wide forward
Striker
Other
Additional information / previous teams etc
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