Registration Form

Player Full Name

Mobile No

Current school year (e.g. Sept 2024)

Date of Birth

Age group (e.g. U8, U9, 10 etc)

I prefer to play (for reference only)
Goalkeeper
Defender
Midfield
Forward

How did you hear about us?
Social Media
Poster
Friend

Medical Details: Please indicate if you have any medical conditions we should be aware of e.g. asthma inhaler or EpiPen location

Parent/Carer & Emergency details:
In the event that my son/daughter is injured today whilst training and I cannot be contacted on the above number, I hereby give my consent for my child to receive medical attention.

Signed:

Print Name:

Date:

Registration Form

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