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Application Form SUMMER 2010

 

Fees:

1 Session per week - €50

2 Sessions per week - €100

 

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* Required information.
Name: *
Date of birth: *
Phone: *
Parent/Guardian Mobile No.: *
Address: *
City: *
Post Code:
E-Mail:
Football Nursery (if any):
Your preferred training day (if any):
Does the child suffer from any medical condition?
If YES please describe :
Paid by:
Bank:
Cheque No.:
Amount (€): *

 

 

 

Westin Dragonara Resort Teamsport Daikin David Vella Trading Co. Ltd. Dvine Dvine

 

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