2021/22 Season Membership Form

    First Name

    Last Name

    Player Date of Birth DD/MM/YYYY

    Primary/ Secondary School

    School Year 25/26

    Image of Player - The FA database (WGS) require an image of your child which they will be uploaded onto their database. The image should show head and shoulders only (passport style), be of a quality that will clearly identify your child, and have been taken recently (within the last 6 months). Smiling is okay, but ensure that no hats or clothing cover facial features. Your application will be rejected if this is not completed.

    Saturday Football Team Name and Age Group - Only Complete if instructed by your coach

    Sunday Football Team Name and Age Group

    Address Line 1 – number and street name

    Address Line 2

    Town or City

    Postcode

    Primary Carers Name for Players U18

    Primary Occupation

    Primary Carers Date of Birth DD/MM/YYYY

    Primary Carers or Players Mobile Telephone Number

    Primary Carers or Players Email Address – this is required to register the player on the FA Database. This email will also be used for any club communication.

    Player's Email Address if aged 16+ for Player Registration Only

    Secondary Carers Name

    Secondary Occupation

    Secondary Carers Mobile Telephone Number

    Secondary Carers Email Address

    Does the player have any known health needs?

    The Club are always looking for volunteers to assist with various roles within the Club. Can you support your Community Club in any of the roles? e.g. Coaching/ Admin/ Grass Maintenance.

    If Yes, which role are you interested in?

    If your child is aged 14+ and interested in any of the roles within the Club to support their future development?

    Do you consent to images of your child if U18 or yourself if over 18 appearing on our social media sites?
    At times the Club may wish to take photos or videos of the team or individuals in it. We adhere to The FA Guidelines to ensure these are safe and respectful and used solely for the purposes for which they are intended, which is promotion and celebration of the activities of the Club, and for training purposes.

    Club Welfare - FA regulations and guidelines dictate that as a charter standard Club, we must have a Club Welfare Officer in place, along with a Safeguarding Policy, and relevant codes of conduct. All of this information can be found online here - please take the time to visit the page, ensure you are aware about who our CWO's are, and how you can deal with any welfare issues.

    By selecting 'Yes' from the drop down box below, as the child's primary carer you are agreeing to the safeguarding policies we have in place, and that you are aware of who the Club Welfare Officer is.

    Club Code of Conduct for Players and Parents - Please read our Club's code of conduct for the season, which can be found online here

    Club Expectations for Players and Parents - Please read our Club's Expectations for the season, which can be found online here

    By selecting 'Yes' from the drop-down box below, you are agreeing to abide by our Clubs Code of Conduct and Club's Expectations for Players and Parents.

    Subscription Payments - The Club requires monthly subscription payments from all of it's participating members, and has an instruction in place which must be adhered to by all.

    By selecting 'Yes' from the drop-down box below, as the child's primary carer or player if over 18 you are agreeing to the policy we have in place, and pledging to initiate and maintain your monthly subscription in a timely manner.

    Kit Locker size guide can be found online here

    PLEASE ORDER KIT VIA YOUR COACH

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