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BOOTH ROAD CELTIC FOOTBALL CLUB

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ONLINE REGISTRATION Already registered ? Please login

Home > Online Registration

*Your Email

*Your Password

*Confirm Password

*Player Surname

*Player First Name

*Parent/Guardian Surname

*Parent/Guardian First Name

*Address 1

Address 2

*Mobile Number

Home Number

*League Name

*Team

Player Registration Fee

Add another player

*Player Surname

/home3/darren/public_html/clubs/assets/includes/registration.php on line 891
" size="10" class="contact_inp_text_c marn_2" name="surname2" id="surname1"/>

*Player First Name

/home3/darren/public_html/clubs/assets/includes/registration.php on line 897
" size="10" class="contact_inp_text_c marn_2" name="firstname2" id="firstname1"/>

*Parent/Guardian Surname

/home3/darren/public_html/clubs/assets/includes/registration.php on line 903
" size="10" class="contact_inp_text_c marn_2" name="gsurname2" id="gsurname1"/>

*Parent/Guardian First Name

/home3/darren/public_html/clubs/assets/includes/registration.php on line 909
" size="10" class="contact_inp_text_c marn_2" name="gfirstname2" id="gfirstname1"/>

*Address 1

/home3/darren/public_html/clubs/assets/includes/registration.php on line 916
" size="10" class="contact_inp_text_c marn_2" name="address12" id="address11"/>

Address 2

/home3/darren/public_html/clubs/assets/includes/registration.php on line 921
" size="10" class="contact_inp_text_c marn_2" name="address22" id="address22"/>

*Mobile Number

/home3/darren/public_html/clubs/assets/includes/registration.php on line 927
" size="10" class="contact_inp_text_c marn_2" name="cell2" id="cell1"/>

Home Number

/home3/darren/public_html/clubs/assets/includes/registration.php on line 933
" size="10" class="contact_inp_text_c marn_2" name="land2" id="land1"/>

*League Name

*Team

Player Registration Fee

Total payment of two players

€

*Paymount Amount

*Captcha

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I, the child's parent/guardian, give permission for the club to use our child's picture on their website.