REGISTRATION FORM 2021

This form must be completed by the parent or legal guardian of any player under the age of 18 years old. By completing this form you are helping to ensure the correct guidelines are in place to safeguard the welfare of children playing at our club.

Emergency Contact 1
Emergency Contact 2

Details of Any Known Medical Conditions and Medication Received:

MEDICAL CONSENT
DISABILITY

The Disability Discrimination Act 1995 defines a disabled person as anyone with ‘a physical or mental impairment, which has a substantial and long-term adverse effect on his or her ability to carry out normal day-to-day activities’.

If yes, what is the nature of their disability?

I confirm that I have read the club’s policies and procedures document, in particular:

CONSENT TO PARTICIPATE
The above policies will be issued to all Academy members via email. Hard copies are also available and can be accessed in the clubhouse.

If your child is under 16 years of age we would ask you to discuss the Players Code of Conduct with them.

Select Any one of these