Glenavon FC Development Centre – Register Your Interest
Share your details to express interest and receive updates on launch dates, sessions, and costs.
Parent/Guardian Full Name
*
First Name
Last Name
Player Full Name
*
First Name
Last Name
Player Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Player Age
*
Parent/Guardian Email
*
example@example.com
Mobile Telephone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Postcode/Town
*
Preferred Age Group/Session (if known)
Please Select
Mini Kickers (Ages 3-5)
Junior (Ages 6-8)
Intermediate (Ages 9-12)
Youth (Ages 13-16)
Not sure
Other
Current Football Club (if any)
Current Playing Level/Experience (if any)
Does the child have any relevant medical, accessibility or additional support requirements? Please provide only information needed to support safe participation.
Emergency Contact Name
*
Emergency Contact Telephone
*
Please enter a valid phone number.
Format: (000) 000-0000.
How did you hear about the Development Centre?
Please Select
Glenavon FC Website
Social Media
School
Friend or Family
At Mourneview Park
Other
I consent to be contacted by Glenavon FC about the Development Centre.
*
Yes
No
Submitting this form is only an expression of interest and does not guarantee a place.
Register Interest
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