Antrim Development Squad Player Registration Form

Players Name stephen gorman

Club st james aldergrove
School/Occupation serc tech
Position full back
DOB 3/19/1994
Home Address (including post code) 077596 34328

Player's mobile number 077 59634328

*Parent/Guardian’s Name 9 hartswood crumlin bt29 4fy

*Parent/Guardian’s Mobile Number stephen gorman

*Parent/Guardian’s Email Address 0754 9081365

Club Coaches Name chelseafc_09@hotmail.co.uk

Club Coaches Phone Number 07841353 782

Club Coaches Email Address contact@stjamesaldergrove.com

Please list any current injuries & type of

treatment received

Do you have any medical conditions or

allergies?
Do you take medication? Asthma

Fitness Test Results Feb/April

Fitness retest results May

Attendance Record
 Antrim Development Squad Player Registration Form
Players Name Ben Johnston
Club St.Comgalls
School/Occupation St.Louis grammer school
Position ballymena
goalkeeper
DOB 5/19/1994
Home Address (including post code) 077 92131205

Player's mobile number 077 92131205

*Parent/Guardian’s Name jackie johnston

*Parent/Guardian’s Mobile Number 07967 106089

*Parent/Guardian’s Email Address johnstonjackie7@gmail.com

Club Coaches Name kevin mc auley

Club Coaches Phone Number 07541 506272

Club Coaches Email Address
Please list any current injuries & type of
treatment received

Do you have any medical conditions or

allergies?
Do you take medication?

Fitness Test Results Feb/April

Fitness retest results May

Attendance Record
 Antrim Development Squad Player Registration Form
Players Name Daniel Lavery
Club st brigids GAC
School/Occupation ST Malachs college belfast
Position right coner forward
DOB 2/12/1994
Home Address (including post code) 35 beechlawn ave dunmurry
bt17 9nl

Player's mobile number 079 02564151

*Parent/Guardian’s Name dermot lavery

*Parent/Guardian’s Mobile Number 7713244916

*Parent/Guardian’s Email Address dlavery@doublebandfilms.com

Club Coaches Name eunan conway

Club Coaches Phone Number 078089 60639

Club Coaches Email Address
Please list any current injuries & type of
treatment received

Do you have any medical conditions or

allergies?
Do you take medication?

Fitness Test Results Feb/April

Fitness retest results May

Attendance Record
 Antrim Development Squad Player Registration Form
Players Name Cillian Muc Ailin
Club kickhams creggan
School/Occupation st benidicts college
Position full back/midfield
DOB 7/22/1994
Home Address (including post code) 07907 532641

Player's mobile number 079 07532641

*Parent/Guardian’s Name 13 the pines randalstown bt41

3qw
*Parent/Guardian’s Mobile Number ann allen

*Parent/Guardian’s Email Address 94473 799

Club Coaches Name

Club Coaches Phone Number sean mcauley

Club Coaches Email Address 0759318 6735

Please list any current injuries & type of

treatment received

Do you have any medical conditions or

allergies?
Do you take medication?

Fitness Test Results Feb/April

Fitness retest results May

Attendance Record
 Antrim Development Squad Player Registration Form
Players Name Ciaran McAuley
Club Creggan
School/Occupation st marys grammer magherafelt
Position half back
DOB 9/16/1994
Home Address (including post code) 171 staffordstown road
randalstown co antrim bt41 3lt

Player's mobile number 075 96195312

*Parent/Guardian’s Name edmund mc auley

*Parent/Guardian’s Mobile Number 7702104351

*Parent/Guardian’s Email Address marymca@live.co.uk

Club Coaches Name sean mc auley

Club Coaches Phone Number 0787 6210951

Club Coaches Email Address sean.mccann@lagan-group.com

Please list any current injuries & type of

treatment received

Do you have any medical conditions or

allergies?
Do you take medication?

Fitness Test Results Feb/April

Fitness retest results May

Attendance Record
 Antrim Development Squad Player Registration Form
Players Name Christopher McAuley
Club Creggan
School/Occupation St.Marys Grammer
Position magherafelt
Back
DOB 10/29/1994
Home Address (including post code) 10 rosenville av randalstown
bt41 2lz

Player's mobile number 075 49300735

*Parent/Guardian’s Name kevin mc auley

*Parent/Guardian’s Mobile Number 7731638675

*Parent/Guardian’s Email Address kjmccauley.4@ntinternet.com

Club Coaches Name Sean McCann

Club Coaches Phone Number 078 76210951

Club Coaches Email Address sean.mccann@lagan-group.com

Please list any current injuries & type of

treatment received

Do you have any medical conditions or

allergies?
Do you take medication?

Fitness Test Results Feb/April

Fitness retest results May

Attendance Record
 Antrim Development Squad Player Registration Form
Players Name Connor McCann
Club kickhams creggan
School/Occupation st patricks maghera
Position half back
DOB 6/11/1994
Home Address (including post code) 29 carlane road toomebridge
bt41 3nt

Player's mobile number 075 96940954

*Parent/Guardian’s Name adrian mccann

*Parent/Guardian’s Mobile Number 077397 98197

*Parent/Guardian’s Email Address ajmconsultants@btconnect.com

Club Coaches Name sean mccann

Club Coaches Phone Number 7876210951

Club Coaches Email Address sean.mccann@langan-group.com

Please list any current injuries & type of

treatment received

Do you have any medical conditions or

allergies?
Do you take medication?

Fitness Test Results Feb/April

Fitness retest results May

Attendance Record
 Antrim Development Squad Player Registration Form
Players Name Jack McMullan
Club st patricks lisburn
School/Occupation friends school lisburn
Position half back
DOB 11/21/1994
Home Address (including post code) 118 saintfield road lisburn
bt27 5pg

*Parent/Guardian’s Name martin McMullam

*Parent/Guardian’s Mobile Number 7775901453

*Parent/Guardian’s Email Address mmcmullan@doctors.org.uk

Club Coaches Name peter burns

Club Coaches Phone Number 0777 4684107

Club Coaches Email Address ppburns@ticali.co.uk

Please list any current injuries & type of

treatment received

Do you have any medical conditions or

allergies?
Do you take medication?

Fitness Test Results Feb/April

Fitness retest results May

Attendance Record
 Antrim Development Squad Player Registration Form
Players Name Phelim Killough
Club all saints ballymena
School/Occupation st louis grammer ballymena
Position defender
DOB 2/26/1994
Home Address (including post code) 12 frys road ballymena bt43
7ew

Players mobile number 077 51987801

*Parent/Guardian’s Name kieran killough

*Parent/Guardian’s Mobile Number 07927 895281

*Parent/Guardian’s Email Address kierankillough@btinternet.com

Club Coaches Name hugh killough

Club Coaches Phone Number 07707 553712

Club Coaches Email Address hugh@talktalk.net

Please list any current injuries & type of

treatment received

Do you have any medical conditions or asthma

allergies?
Do you take medication?

Fitness Test Results Feb/April

Fitness retest results May

Attendance Record
 Antrim Development Squad Player Registration Form
Players Name diarmuid mc nally
Club all saints ballymena
School/Occupation st patricks college ballymena
Position forward
DOB 1/6/1994
Home Address (including post code) 64 frys road ballymeana

Player's mobile number 079 27196545

*Parent/Guardian’s Name hugh killough

*Parent/Guardian’s Mobile Number 0770755 3712

*Parent/Guardian’s Email Address diarmuidmcnally@hotmail.com

Club Coaches Name hugh killough

07707 553712
Club Coaches Email Address hughk@talktalk.net

Please list any current injuries & type of

treatment received

Do you have any medical conditions or

allergies?
Do you take medication?

Fitness Test Results Feb/April

Fitness retest results May

Attendance Record
 Antrim Development Squad Player Registration Form
Players Name liam joseph campbell
Club st ednas
School/Occupation st patricks belfast
Position
DOB 10/24/1994
Home Address (including post code) 6 hightown crescent
glengormley bt36 7tq

*Parent/Guardian’s Name bronagh campbell

*Parent/Guardian’s Mobile Number 07763 457601

*Parent/Guardian’s Email Address bcampbel07@aol.com

Club Coaches Name andy healy

Club Coaches Phone Number

Club Coaches Email Address
Please list any current injuries & type of
treatment received

Do you have any medical conditions or

allergies?
Do you take medication?

Fitness Test Results Feb/April

Fitness retest results May

Attendance Record
 Antrim Development Squad Player Registration Form
Players Name Kristian Heally
Club st ednas
School/Occupation st malachys college belfast
Position midfield
DOB 9/6/1994
Home Address (including post code) 26 lower rashee road
ballycastel bt39 9jl

Player's mobile number 078 50707367

*Parent/Guardian’s Name andrew healy

*Parent/Guardian’s Mobile Number 07980 725231

*Parent/Guardian’s Email Address andrewhealy@btinternet.com

Club Coaches Name andrew healy

Club Coaches Phone Number 079807 25231

Club Coaches Email Address
Please list any current injuries & type of
treatment received

Do you have any medical conditions or

allergies?
Do you take medication?

Fitness Test Results Feb/April

Fitness retest results May

Attendance Record
 Antrim Development Squad Player Registration Form
Players Name Terramc Mc Namara
Club st ednas
School/Occupation edmund rice
Position forward
DOB 7/11/1944
Home Address (including post code) 9 collinward avenue bt36 bdy

Player's mobile number 075 41629195

*Parent/Guardian’s Name siobhan mc namaia

*Parent/Guardian’s Mobile Number

*Parent/Guardian’s Email Address

Club Coaches Name andy healy

Club Coaches Phone Number

Club Coaches Email Address
Please list any current injuries & type of
treatment received

Do you have any medical conditions or

allergies?
Do you take medication?

Fitness Test Results Feb/April

Fitness retest results May

Attendance Record
 Antrim Development Squad Player Registration Form
Players Name daniel mac elhatton
Club st endas gac
School/Occupation st malachys college belfast
Position midfield
DOB 6/17/1994
Home Address (including post code) 8 downview avenue bt15 4ez

Player's mobile number 077 84450677

*Parent/Guardian’s Name fergal mac elhatton

*Parent/Guardian’s Mobile Number 07796 277292

*Parent/Guardian’s Email Address fergal.macelhatton@ntlworld.com

Club Coaches Name andy healy

Club Coaches Phone Number 079807 25231

Club Coaches Email Address
Please list any current injuries & type of
treatment received

Do you have any medical conditions or

allergies?
Do you take medication?

Fitness Test Results Feb/April

Fitness retest results May

Attendance Record
 Antrim Development Squad Player Registration Form
Players Name kristian Donnelly
st comgalls
st louis grammar school
Position ballymena
full back
DOB 1/20/1994
Home Address (including post code) 76 carnbeg dale carnbeg
antrim bt41 4re

Player's mobile number 079 45641909

*Parent/Guardian’s Name angela kelly

*Parent/Guardian’s Mobile Number 078716 29510

*Parent/Guardian’s Email Address

Club Coaches Name Andrew Healy

Club Coaches Phone Number 075415 06272

Club Coaches Email Address
Please list any current injuries & type of
treatment received

Do you have any medical conditions or minor logament damage in

allergies? right ankle
Do you take medication?

Fitness Test Results Feb/April

Fitness retest results May

Attendance Record
 Antrim Development Squad Player Registration Form
Players Name Jordan Duffy
Club st comgalls antrim
School/Occupation st louis grammer
Position half forward
DOB 4/21/1994
Home Address (including post code) 2 thyme park towns park south
antrim bt41 4pe

Player mobile number 078 89009637

*Parent/Guardian’s Name mr peter duffy

*Parent/Guardian’s Mobile Number 078411 58736

*Parent/Guardian’s Email Address pedroduffy@yahoo.co.uk

Club Coaches Name kevin mc caully

Club Coaches Phone Number

Club Coaches Email Address
Please list any current injuries & type of
treatment received

Do you have any medical conditions or

allergies?
Do you take medication?

Fitness Test Results Feb/April

Fitness retest results May

Attendance Record
 Antrim Development Squad Player Registration Form
Players Name eoin fleming
Club rossa
School/Occupation rathmore grammer school
Position corner
DOB 11/2/1994
Home Address (including post code) 35 brooklands grange belfast
bt17 osa

Player's mobile number 075 17232305

*Parent/Guardian’s Name sean fleming

*Parent/Guardian’s Mobile Number 07753 804256

*Parent/Guardian’s Email Address sean.fleming62@btinternet.com

Club Coaches Name sean fleming

Club Coaches Phone Number sean.fleming62@btinternet.co

m
Club Coaches Email Address
Please list any current injuries & type of
treatment received

Do you have any medical conditions or

allergies?
Do you take medication?

Fitness Test Results Feb/April

Fitness retest results May

Attendance Record
 Antrim Development Squad Player Registration Form
Players Name tiarnan McKenna
Club st galls
School/Occupation rathmore
Position full forward
DOB 10/20/1994
Home Address (including post code) 78 weavers meadow crumlin
co.antrim bt29 4jh

Player's mobile number 077 16219121

*Parent/Guardian’s Name fiona crookes

*Parent/Guardian’s Mobile Number 0777 1866079

*Parent/Guardian’s Email Address fifimac67@hotmail.com

Club Coaches Name tom shannon

Club Coaches Phone Number 07871 443287

Club Coaches Email Address t.shannon603@ntlworld.com

Please list any current injuries & type of

treatment received

Do you have any medical conditions or

allergies?
Do you take medication?

Fitness Test Results Feb/April

Fitness retest results May

Attendance Record
 Antrim Development Squad Player Registration Form
Players Name Fintan McCaughry
Club st ednas
School/Occupation BRA
Position Midfield
DOB 2/24/1994
Home Address (including post code) 123 circular road bt37 ore

*Parent/Guardian’s Name mark mc caughey

*Parent/Guardian’s Mobile Number 07769 908198

*Parent/Guardian’s Email Address

Club Coaches Name andy healy

Club Coaches Phone Number

Club Coaches Email Address
Please list any current injuries & type of
treatment received

Do you have any medical conditions or

allergies?
Do you take medication?

Fitness Test Results Feb/April

Fitness retest results May

Attendance Record
 Antrim Development Squad Player Registration Form
Players Name Michael Morgan
Club St.Endas
School/Occupation st malachys
Position
DOB 11/10/1994
Home Address (including post code) 16 elmfield cresent

*Parent/Guardian’s Name brian morgan

*Parent/Guardian’s Mobile Number 07718 252248

*Parent/Guardian’s Email Address

Club Coaches Name andy healy

Club Coaches Phone Number

Club Coaches Email Address
Please list any current injuries & type of
treatment received

Do you have any medical conditions or

allergies?
Do you take medication?

Fitness Test Results Feb/April

Fitness retest results May

Attendance Record
 Antrim Development Squad Player Registration Form
Players Name Mark Hillen
Club St.Endas
School/Occupation st malachys
Position Back
DOB 8/16/1994
Home Address (including post code) 9 Donegall Park Ave, Bt15 4ET

*Parent/Guardian’s Name Bernadette Hillen

*Parent/Guardian’s Mobile Number

*Parent/Guardian’s Email Address

Club Coaches Name andy healy

Club Coaches Phone Number

Club Coaches Email Address
Please list any current injuries & type of
treatment received

Do you have any medical conditions or

allergies?
Do you take medication?

Fitness Test Results Feb/April

Fitness retest results May

Attendance Record
 Antrim Development Squad Player Registration Form
Players Name
Club
School/Occupation
Position
DOB
Home Address (including post code)

Player's mobile number

*Parent/Guardian’s Name

*Parent/Guardian’s Mobile Number

*Parent/Guardian’s Email Address

Club Coaches Name

Club Coaches Phone Number

Club Coaches Email Address
Please list any current injuries & type of
treatment received

Do you have any medical conditions or

allergies?
Do you take medication?

Fitness Test Results Feb/April

Fitness retest results May

Attendance Record
 Antrim Development Squad Player Registration Form
Players Name
Club
School/Occupation
Position
DOB
Home Address (including post code)

Player's mobile number

*Parent/Guardian’s Name

*Parent/Guardian’s Mobile Number

*Parent/Guardian’s Email Address

Club Coaches Name

Club Coaches Phone Number

Club Coaches Email Address
Please list any current injuries & type of
treatment received

Do you have any medical conditions or

allergies?
Do you take medication?

Fitness Test Results Feb/April

Fitness retest results May

Attendance Record
 Antrim Development Squad Player Registration Form
Players Name Mark Hillen
Club St.Ednas
School/Occupation st malachys
Position back
DOB 8/16/1994
Home Address (including post code) 9 donegall park avenue bt6 4et

Player's mobile number

*Parent/Guardian’s Name bernadette hillen

*Parent/Guardian’s Mobile Number

*Parent/Guardian’s Email Address

Club Coaches Name

Club Coaches Phone Number

Club Coaches Email Address
Please list any current injuries & type of
treatment received

Do you have any medical conditions or

allergies?
Do you take medication?

Fitness Test Results Feb/April

Fitness retest results May

Attendance Record