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Ballymena United Youth Academy

The Wee Sky Blues Official Website

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Registration

& Membership

REGISTRATION AND MEMBERSHIP ONLINE APPLICATION

To register your child, please fill out the information below.

SECTION A: PLAYER DETAILS

Child's Forename

Child's Surname

Date of Birth

Player Address

House Number and Street

Address Line Two

City

Postcode

SECTION B: PARENT/CARER DETAILS

Parent's Forename

Parent's Surname

House Number and Street

Parent / Carer Address Line 2

City

Mobile Phone Number

Postcode

Landline Phone Number

Email

MEDICAL HISTORY - Please detail below any important medical conditions or any information that our coaches should be aware of: (Epilespy, Asthma, Diabetes, Allergies, e.t.c.). DO NOT LEAVE BLANK - If there is no information to report, please type 'NONE'.

In relation to my child's medical history, to my knowledge I agree the statement above is true and correct.

Ballymena Showgrounds, Warden Street, Ballymena,

Co. Antrim. Northern Ireland. BT43 7DR

Email: ballymenautdyouth@gmail.com

© 2024 Ballymena United Youth Football Academy

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