Interest Form
Join the email list and be kept up-to-date with the latest information from the Association.

PERSONAL DETAILS
Title: *
First Name: *
Last Name: *
Date Of Birth: *
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Date of Birth: Dates of birth are frequently used in many industries and sporting organisations to distinguish people with the same name from each other. It is far more reliable than using a person’s address and phone number which may change. Date of birth can also be used to distinguish between members of the same family such as father son, mother and daughter etc.
Gender: *  
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Gender: The Association has as one of its primary purposes to make the sports available to all persons regardless of gender. By supplying your gender, you are ensuring equal that sport becomes increasingly available to everyone, male or female.
Nationality:
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Nationality: The Association has an objective to provide opportunities to all persons of all nationalities.
Ethnicity:
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Ethnicity: It is a conscious effort on the part of the Association to promote football amongst members of minority, ethnic and cultural communities within Northern Ireland. The Association uses football as a vehicle to promote a fully intercultural, and socially inclusive society at ease with its growing diversity.
Disability:
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Disability: The Association’s Football for All Programme aims to provide an opportunity for people with disabilities to participate in football. It aims to develop and educate coaches and volunteers in relation to best practice when working with players with a disability.
PHONES
Mobile Phone:
Home Phone:
Work Phone:


EMAIL ADDRESS
Home Email
Work Email

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Email: Email is the least costly and most direct form of communication. By providing your email address you are ensuring that you can receive timely information on events, programmes, courses and matches that are of relevance to you. Furthermore, email is an environmentally friendly means of communication.
ADDRESS DETAILS
Address Type: *
Address 1: *
Address 2
Address 3
Town/City:
County:
Postal Code
Country: *
Comments

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