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Gallery: Monday 2nd June
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Weekly Sessions Registration
First Name
Last Name
Email
Child's Name
Phone Number
Childs School Year
Does your child have any known health needs? eg. Diabetes, asthma, epilepsy,allergies
*
Yes
No
Please detail any medical conditions & medication
What size training kit do you require?
*
YXS (3-4 years)
YS (5-6 years)
YM (7-8 years)
YL (9-10) years
YXL (11-12) years
Select JN Sport Session
*
Little Leroy's (Nursery)
Leroy's Lions (Reception)
JN Strikers (pre-team) year 1 & 2
JN Development 7-12 years
JN Wild Cats 5-10 years
Which Venue do you want to attend?
*
Burscough/Ormskirk - Monday
Chorley - Tuesday
Southport - Tuesday
Skelmersdale - Wednesday
Burscough/Ormskirk - Saturday
Edge Hill Uni - Sunday (nursery & reception)
Has your child played football previously?
*
Yes
No
Where has your child previously played?
Home Address
Street Address
Street Address Line 2
City
Postal / Zip code
Pay Registration Fee
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