2021/22 Season Membership Form Player Name Date of Birth DD/MM/YYYY Image of Player - The Russell Foster Youth Leagues (RFYL) and FA database (WGS) require an image of your child which they will display on their website. 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 U7 Lionesses / PaulU7 Girls Wildcats / Gary SykesU7 LionsU7 PumasU7 TigersU8 Lionesses / Abigail PhippsU8 Girls WildcatsU8 Lions / Darren & PhilU8 Pumas / Jack SmithU8 Tigers / Aiden WoodleyU8 WildcatsU9 Lionesses / Gary SykesU9 Girls Wildcats / Gary SykesU9 Lions / David & SimonU9 Pumas / Martin & AndyU9 Tigers / David RounsfellU9 Wildcats / Phil & PeterU10 Lionesses / Graeme & NeilU10 Girls Wildcats / Graeme & NeilU10 Tigons / Malcolm McMannU10 Lions / Chris WoodU10 Tigers / Paul WhiteU10 Pumas / Paul HenryU10 Lynx / Craig HartleyU11 Tigons / Jamie FletcherU11 Tigers / Stew & RichieU11 Wildcats / Gavin SandersonU11 Lions / Ash LaddU11 Lynx / Sarah WeaverU12 Lionesses / Mick ShevillsU12 Girls Wildcats / Dave LowreyU12 Girls Tigers / Paul NevittU12 Tigons / Jamie FletcherU12 Pumas / Steve CurryU12 Wildcats / David TaylorU12 Tigers / Jack & HelenU13 Lionesses / Phil CockburnU13 Tigers / Geoff CollinsU13 Wildcats / Chris RobsonU14 Lionesses / Simon BatesU14 Lions / Lee & MalU14 Tigers / Rob & KeithU15 Lionesses / Beth WhiteU15 Tigers / Alan DaviesU16 Lionesses / Anth HodgsonU16 Girls Wildcats / Stu & ChrisU16 Tigers / John DixonU16 Pumas / Josh ScottU16 Wildcats / Tom AtkinsonU17 Lionesses / Darren FisherU18 Panthers / Tommy McIntosh 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 with RFYL and the FA 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