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SUBSCRIPTION COSTS: Seniors (20 and over) - $275 Juniors/Fun Football - $120 for 1st child in family, $110 for 2nd, $100 for 3rd, First Kicks (Beginners)$55 (Cheque payment is required with submission of this form, payable to: Ferrymead Bays Football Club)
Player Surname
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Player First Name
*
Street Address
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Suburb / City
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Phone number
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Mobile
*
Birth Date
*
Sex
*
Male
Female
Your email
*
School
List any medical conditions or allergies that we should be aware of:-
JUNIORS - Parent-Guardian or N/A
*
JUNIORS - Emergency Phone or N/A
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JUNIORS - Parent-Guardian Email or N/A
*
Ethnicity (Required by Mainland Football) ie (NZ European)
*
Team Preference
Previous Football Team Played For..
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New
New Junior
Played for Ferrymead Bays in 2011
Other Football Club
Assist with coaching/managing junior team.
I would like to advertise through the club website or match day programme.
I would like to donate to the Ferrymead Bays Football Foundation or become a sponsor.
*
I agree to become a member of Ferrymead Bays & abide by its rules & regulations.
When complete "CLICK SUBMIT" and send the appropriate payment to: Ferrymead Bays Football Club, 131 Bordesley Street, Linwood, Christchurch 8011 or For bank payments our SBS account details are as follows.. 03 1355 0506195 00
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