PLAYER REGISTRATION

Full Name*

DOB*

Day

Month

Year

Address*

Mobile Number*

Primary Playing Position*

GK

Defender

Midfielder

Winger

Striker

Current Club*

Previous Clubs (last 3 years)*

County or Academy Experience (Yes/No – If yes, add details)*

YES

NO

If yes, add details

Preferred Foot*

Left

Right

Do you have any medical conditions or injuries we should be aware of?*

I agree to be contacted by Newport City FC regarding trial information*

YES

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