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CLICK THE BACK BUTTON IN YOUR BROWSER TO RETURN TO THE PREVIOUS SCREEN |
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PARENT TO COMPLETE IF UNDER 18 yrs
I, ____________________________________ give DOYALSON-WYEE SOCCER CLUB permission to include My Child's Name & Photograph on their Website: www.doyalsonwyeesoccerclub.org.au.
CHILD’S NAME: ___________________________
PARENT/GUARDIAN (IF UNDER 18yrs) SIGNATURE: _____________________________
PARENT/GUARDIAN FULL NAME (PRINT): _________________________________
DATE: _______________________
CONTACT PHONE NO: _________________________ (Doyalson-Wyee Soccer Club Records ONLY)
EMAIL ADDRESS _________________________________________________________ (For Doyalson-Wyee soccer Club Records ONLY)
DOYALSON-WYEE SOCCER CLUB ATT: TONI QUINN P.O BOX 4303, LAKE HAVEN NSW 2263
or
SCAN COMPLETED FORM & ATTACH TO AN EMAIL & SEND TO ME @ Doyalsonsonwolves@aol.com
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