Club Name: ________________________      Age group: ___________

 

Players name

Date of birth

Registration Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The players listed above are currently registered with our Club.

 

Signed: _______________________Print Name: ___________________

(Club Secretary)

 

Date: _______________

 

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