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Saturday 28th April v. Crusaders (home) - Danske Bank Premiership - k.o: 3:00pm

Ballymena United Football Club - Junior Sky Blues 2017/18 - Application Form Uploaded Wednesday, 24th May, 2017 at 09:00 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 DECLARATION I have read and agreed to these terms and conditions and will now use Paypal for the purchase of my 2017/18 Ballymena United Junior Sky Blues membership.