HYAGFFA

Chance to join a team

Grant aided by Football Foundation, and Essex County F.A. in partnership with Harlow Council Sports Development, and Mark Hall Sports College.

GIRLS FOOTBALL FORM - return on day

Name: ____________________________________________

Address: __________________________________________

Post code:____________Tel No:_______________________

Emergency Tel No: __________________________________

Age: ______________Date of Birth:_____________________

Medical Conditions:__________________________________

Photographs may be taken of your child during the event for publicity purposes.  Please tick if you should have any objections:

Signature of Parent/Guardian:__________________________

Date: __________________________