Venue:   Hasland Cylinders Ground, Off Whitebank Close
23rd, 24th & 25th October 2001
Start 10am-3pm (Drop off 9am onwards)

Cost £20  or £8 per day 

Football Fun Courses include: Mini Tournaments, penalty competitions, achievement awards.  No refunds will be available.  Parents- please ensure that your child brings

TRAINERS, PACKED LUNCH, EXTRA DRINK & SHIN PADS.  Please label all clothing,  If you require any further information, please contact FITC on (01246) 550930.  Mobile (0771) 874 8432.
F.I.T.C. ARE NOT RESPONSIBLE FOR ANY LOSS OF PERSONAL ITEMS
PARENTS-PLEASE COLLECT YOUR CHILD NO LATER THAN 3pmPLEASE FORWARD COMPLETED FORMS TO: FOOTBALL IN THE COMMUNITY, CHESTERFIELD FOOTBALL CLUB, RECREATION GROUND, SALTERGATE, CHESTERFIELD, S40 4SXI
F CONFORMATION IS REQUIRED, PLEASE ENCLOSE SAE. 
PLEASE MAKE CHEQUES PAYABLE TO FOOTBALL IN THE COMMUNITY
FITC SOCCER COURSES

NAME:

D.O.B.

COURSE REF:

ADDRESS:

POST CODE:

SCHOOL YEAR

SCHOOL

TOTAL PAYMENT DUE:

HEALTH PROBLEMS IF ANY

SIGNATURE:

Emergency Tel No:
 (Mobile)
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