Indoor Training Colts / Ladies & Girls - Starting Sunday 6th November 2022

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* 1. Player Name

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* 2. Select Player Age Group

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* 3. Enter Parent / Guardian Contact Details

Email Address

Mobile Phone Number

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* 4. Select Your Program - Starting Sunday 6th November

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* 5. Your Current Membership Status

Non Member - £24

PCC Member - Pay Yearly / All Stars / Dynamos - £18

PCC Member - Pay By Monthly Standing Order - £0

You will pay at the end of this survey.

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* 6. Please inform us of any Medical Conditions

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* 7. Please add any Comments