RUBERY JUNIORS FOOTBALL CLUB

 

I am interested in attending a Training/Trial session with

your representative team of my age group.

My Full Name is:

 

 

My Date of Birth

/          /

Age:

 

My Address is:    House Number:

         Name of Road or Street:

                                Area:

                      Town or City:                        

                           Postcode:

 

Parent/Guardian Name:

 

Contact Number:

 

Are you presently Registered with another football club?        Yes/No……………………

If so how long have you

been part of that club?

……………………………………………

Have you represented your School?  Yes/No …………………

Do you play any other sport?

 

I am fully aware that if I am a Registered Player with any other Youth Football Club that it is my sole responsibility to inform my Club that I wish to attend a session with Rubery Juniors Football Club and give consent for Rubery Juniors F.C. to contact any relevant Club Official to obtain permission prior to any such attendance.