Date post: | 12-Apr-2015 |
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England Deaf Futsal
Squad TrialsTo register your attendance at the national trials, please complete and return this
page via the contact details provided.
Name: ___________________________________________________________
Address: _________________________________________________________
_________________________________________________________________
Date of Birth: ____________________ Age: _______________________
(Must be born on or before 26th April 1997)
Telephone Number: ________________________________________________
Mobile Number: ___________________________________________________
Email Address: _____________________________________________________
Current Club: ______________________________________________________
Do you have any previous experience of playing Futsal? ___________________
Preferred Playing Position:
Goalkeeper Defender Midfielder Forward
Relevant Medical Information: ________________________________________
Please return this form to:
Phil Heap via e-mail address: [email protected] before 12th April.
Your trial date will be confirmed week commencing 15th April.