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U7's(01/09/13-31/08/14)U8's(01/09/12-31/08/13)U9's(01/09/11-31/08/12)U10's(01/09/10-31/08/11)U11's(01/09/09-31/08/10)U12's(01/09/08-31/08/09)U13's(01/09/07-31/08/08)U14's(01/09/06-31/08/07)U15's(01/09/05-31/08/06)U16's(01/09/04-31/08/05)U17's(01/09/03-31/08/04)U18's(01/09/02-31/08/03)-647700-7550155251450-685165Membership Form 2020/2021(PLEASE CIRCLE YOUR CHILD’s AGE GROUP ABOVE)Managers Name (if known):___________________________________________________Players NamePlayers Date of Birth: (DD/MM/YYYY)Parent or Carer (1)Name:E-Mail:Contact Number:Parent or Carer (2)Name:E-Mail:Contact Number:Contact AddressFAN: (Football Association Number)Please list and medical conditions or any medication the club should be made aware of:In line with the clubs GDPR policy (found on website), the club will use your contact details above to advise you about club/player issues, fixtures and general communication. I/My Child understands and agrees to be bound by the clubs "Code of Conduct" policy which can be found on the clubs official website.Signature of parent/guardian:_______________________________________________________________PAYMENT (?130) – You can pay in 1, 2, 3 or 5 instalments. (1 x ?130), (2 x ?65), (3 x ?45) or (4 x ?30 + 1 x ?20)Please tick preferred payment method: Bank Transfer Cheque Cash Metro Bank, Aylesbury Cheques payable to Hand cash to Committee Member Account: 23939325 Sort Code: 23-05-80 "Aylesbury Vale Dynamos FC" or Team Manager only You MUST reference players FAN/SurnamePlease confirm Amount Paid: ?______________________ Date Paid:_______________________________Aylesbury Vale Dynamos FC – Authorising Signature:_____________________________________________PLEASE HAND THIS FORM AND YOUR PAYMENT TO A COMMITTEE MEMBER OR YOUR TEAM MANAGER ................
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