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Belsize Rockets FC
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Belsize Rockets F.C. Booking Form
Child's first name
*
Child's last name
*
Child's Date of Birth
*
Day
Month
Year
Parent's Name
*
Parent's Email
*
Parent's Contact Number
Names of all adults authorised to collect / please let us know if your child can leave alone
*
Any relevant medical information
Emergency name and contact number
*
Submit
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