On-line Player Registration (2008/09 Season)

Name*:

Address*:

Town*:

County*:

Postcode*:

Date of birth:

Contact telephone*:

Email address*:

I am:

over eighteen (as at 31st August) and in employment

over eighteen (as at 31st August) and a full time student or unwaged

under eighteen (as at 31st August)

Ethnic origin:

White Chinese Black African

Black Caribbean Black Other Pakistani

Indian | Other (please specify)

Player position:

Goalkeeper Defender Midfield Forward

Prefered position