Rivals4Charity 2010
Hibernian fans application form
for the benefit of
MSTC
Full name:
Email Address:
Full address:
Mobile number:
Have you played Junior or Senior football within the last two seasons:
Yes
No
If yes, what teams. (please give approximate dates):
Current age:
Position
Previous teams:
Do you agree to the terms and conditions:
[view T&C]
Yes