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Tuesday 23rd October v. Ballyclare Comrades (home) - Toals Co Antrim Shield QF - k.o: 7:45pm

Ballymena United Football Club - Junior Sky Blues 2018/19 - Application Form Uploaded Thursday 7th June at 19:00 Please fill out all requested information in the boxes provided using BLOCK capitals. Incomplete forms may not be processed. When you have completed the form, you MUST pay immediately using the paypal button provided. Name Of Parent/Guardian Address 1 Address 2 Postcode Date Of Birth Sex Male Female Email Daytime Telephone Evening Telephone MEMBERSHIP REQUEST Tick the box of the relevant membership ticket Price Select Relevant Box Junior Sky Blues (Under 12) One child, aged Under 12 Two children, aged Under 12 * £25.00 £40.00 * Strictly 2 children (aged Under 12) from the same family. Please state the name(s) and date(s) of birth of the child(ren): Name 1 Name 2 DOB 1 DOB 2 Your privacy is important to us and so Ballymena United FC are committed to the new General Data Protection Regulations, which protect how your information must be stored and prohibit unauthorised use of such information. For our full privacy statement, including details on how your information is held and processed, please visit www.ballymenaunitedfc.com DECLARATION I have read and agreed to these terms and conditions and will now use Paypal for the purchase of my 2018/19 Ballymena United Junior Sky Blues membership.