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E. info@r-kix.co.uk  T. 078874772626

SIGN UP

Sign for R-Kix today!

Kix start today by either by downloading and filling out the sign up sheet – download sign up pdf.
Or fill in the form below and we can contact you for your signature to complete the form.

    AREA:

    NAME OF SESSION (Tots Soccer, Private Coaching, Academy etc):

    CHILD NAME:

    CHILD D.O.B:

    SEX:
    MF

    ANY INJURIES, ALLERGIES, DISABILITIES:

    NEXT OF KIN 1:

    NAME:

    CONTACT NUMBER - MOBILE:

    EMAIL:

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