2021/22 Season Membership Form Player Name Player Date of Birth DD/MM/YYYY 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, 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. Team Name and Age Group NO TEAM SELECTEDU7 LionessesU7 LionsU7 PumasU7 TigersU7 Wildcats BoysU7 TigonsU8 Lionesses / PaulU8 Girls Wildcats / Paul AndersonU8 Lions / Andrew & AndrewU8 Pumas / Craig GrahamU8 Tigers / Emma & ChristianU8 Wildcats BoysU8 Jaguars Sunday / Andy CollierU9 Lionesses / Wayne & AbigailU9 Girls Wildcats / Wayne & AbigailU9 Lions / Darren & PhilU9 Pumas / Chris & GarethU9 Tigers / LorraineU9 Wildcats / WayneU9 TigonsU10 Lionesses / Gary & SimonU10 Girls WildcatsU10 Lions / David & SimonU10 Panthers / Dan & LeeU10 Pumas / Martin & AndyU10 Tigers / David & DaveU10 Wildcats / Peter & AnthU10 JaguarsU11 Lionesses / Graeme & NeilU11 Girls Wildcats / Graeme & NeilU11 Girls Tigers / Graeme & NeilU11 Lions / Chris & JaysonU11 Pumas / Darren & AndyU11 Lynx / Paul & CraigU11 Tigons / Malcolm McMannU11 TigersU12 Tigons / Jamie & PaulU12 Tigers / Stew & RichieU12 Wildcats / Gavin SandersonU12 Lions / Ash & ChrisU13 Lionesses / Mick & OliviaU13 Girls Wildcats / Dave & AdamU13 Lions / Michael HillU13 Tigons / Jamie & ChrisU13 Panthers / Nick & AlanU13 Pumas / Steve & NeilU13 Wildcats / David TaylorU13 Tigers / Jack & HelenU14 Lionesses / Mike & AdamU14 SUNDAY Lionesses / Mike & AdamU14 Tigers / Andy SawyersU14 Wildcats / Chris RobsonU15 Lionesses / Simon BatesU15 Lions / Lee & JohnU15 Tigers / Rob & KeithU16 Lionesses / Graham & DaveU16 Tigers / Alan DaviesU17 Lionesses / MichaelU17 Girls Wildcats / Chris RobsonU17 TigersU17 Pumas / Craig MewesU17 Wildcats / Tom AtkinsonU18 Lionesses / Darren FisherU18 Panthers / Tommy McIntoshWomens Development - James Minns Home Address – number and street name Town or City Postcode Primary Carers Name for Players U18 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. Secondary Carers Name Secondary Carers Mobile Telephone Number Secondary Carers Email Address Does the player have any known health needs? 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. YesNo 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. YesNo 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. YesNo Club Code of Conduct for Players and Parents - Please read our club code of conduct 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. YesNo 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. YesNo Pro Direct size guide can be found online here PLEASE ORDER KIT VIA YOUR COACH