2024 Football Taster Sessions - UNDER 6 - SCHOOL YEAR 1 (from Sept 2024)

UNDER 6 - SCHOOL YEAR 1 (from Sept 2024)

Player's Full Name*

School Year ( from Sept 2024 )*

Players Age ( Please select from dropdown list )*

Players Gender ( Please select from dropdown list )*

Primary Contact Name*

Primary Email Address*

Primary Phone Number*

First Line of Address*

Post Code*

Secondary Contact Name*

Secondary Email Address*

Secondary Phone Number*

Medical History - Does the above named child have any Medical Conditions / Allergies of which the club should be made aware of?*

If yes, please provide information

I understand that whilst all reasonable care will be taken with the child named above during their activity within the club, in the unfortunate event of any medical emergency I DO / I DO NOT consent to medical treatment being given.

I DO
I DO NOT

Permission to use child's name and photographs. Player's name and photographs maybe reproduced e.g on the club's website or social media platforms

I DO
I DO NOT

Parent / Guardian's Signature*

Date*

Date