2021/22 Season Membership Form Player Name Player Date of Birth DD/MM/YYYY Primary/ Secondary School 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. Saturday Football Team Name and Age Group NO TEAM SELECTEDU7 LionsU7 PumasU7 TigersU7 WildcatsU7 LionessesU8 Lions - Anth & GavU8 Pumas - DavidU8 Tigers - Joe & MarkU8 Wildcats - Anth & AlanU8 Tigons - Lee & BenjaminU8 Lionesses Girls - Peter & MichaelU8 Wildcats Girls - Michael & DavidU9 Lions - James & DavidU9 Pumas - MattyU9 Tigers - Daniel & RichieU9 Wildcats - JasonU9 Tigons - Neil & BarryU9 Lionesses Girls - Rob & LouiseU9 Wildcats Girls - GavU10 Lions - Andrew & CraigU10 Tigers - John & DavidU10 Wildcats - Emma & MarkU10 Jaguars - StevenU10 Lionesses Girls - Paul & ShaunaghnessyU10 Wildcats Girls - PaulU11 Lions - Darren & PhilU11 Pumas -U11 Tigers - Colin & MarkU11 Wildcats - AndyU11 Tigons - DannyU11 Jaguars Andy & AdamU11 Wildcats Girls - Wayne & AbigailU11 Lionesses Girls - Mark & ColinU11 Tigers Girls - StevenU12 Lions - David & JeffU12 Pumas - Marty & LeeU12 Tigers - David & DaveU12 Wildcats - Peter & AnthU12 Tigons - Simon & DavidU12 Jaguars - Craig & GaryU12 Lionesses Girls - Gary & SimonU12 Wildcats Girls - Lee & ChrisU13 Lions - Anth & JaysonU13 Lynx - Paul, Craig & JackU13 Tigers - Shaun & AnthU13 Pumas - Darren & AndyU13 Jaguars - DanU13 Wildcats Girls - Graeme & LauraU13 Lionesses Girls - Neil & GrantU13 Tigers Girls - Mark & LeanneU14 Tigons - Jamie & PaulU14 Tigers - Stu & RichieU14 Wildcats - Gav & IanU15 Pumas - Steve & NeilU15 Wildcats - David & MichaelU15 Tigers - ChrisU15 Lions - Michael & MatthewU15 Panthers - Alan & NickU15 Wildcats Girls - Mick, Andrew & CraigU16 Tigers - Andy & DomU16 Wildcats - ChrisU16 Lionesses - AdamU17 Tigers - Rob, Keith & RobU17 Girls - Simon & LeeU18 - Alan & DominicU18 Girls - Jamie & AnthonyMens Reserves (Wearside)Womens Reserves (DCFA) Sunday Football Team Name and Age Group NO TEAM SELECTEDU8 Navy (Tigons DCFA) - Anth & GavU10 White (Tigons DCFA) - JohnU11 White (Lions DCFA) - DarrenU11 Navy (Jaguars) Andy & AdamU12 Navy (Lions DCFA) Dave & JeffU12 Panthers (NFL) - DannyU12 Lionesses (DCFA) - Gary & SimonU15 Tigons (NFL) - JamieU15 Lions (NFL) - Michael Home Address – number and street name 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. 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 e.g. Coaching/ Admin/ Grass Maintenance. Would you be interested in supporting your Club? YesNo If Yes, which role are you interested in? NilCoachAdminGrass MaintenancePresentation WeekendSenior TeamBar staffOther 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'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. 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