Advanced Goalkeeper Camp

Online Registration Form

Price category
 *
Player's First Name
 *
Player's Last Name
 *
Player's Age
 *
Player's Date of birth
   *
Address 1
 *
Address 2
City
 *
Postcode
 *
Parent/Guardian Full Name
 *
Email
 *
Repeat email
 *
Mobile
 *
Emergency Contact Name
 *
Emergency Contact Email
 *
Emergency Contact Phone
 *
Emergency Contact Name 2
Emergency Contact Email 2
Emergency Contact Phone 2
Do you have any medical conditions?
 *
Photo consent
 *
In accordance with our child protection policy we will not permit photographs, video or other images of young people to be taken without the consent of the child or the parent if the child is under 18. Aldershot Town F.C will take all steps to ensure these images are used solely for the purposes they are intended. - I give permission for my child's photograph to be used within the club for display purposes
- I give permission for my child's photograph to be used within other printed publications
- I give permission for my child's photograph to be used on the club's website
- I give permission for my child to be videoed for use on the clubs website
- I give permission for my child's photograph to be used on the club's social media pages
- I give permission for my child to be videoed for use on the clubs social media pages
- I give permission for my child to be videoed for video analysis purposes
- I can confirm that I have read, or been made aware of how these images or videos will be stored within the organisation.
 *
We are committed through trained and competent staff to providing a safe learning environment, however football is a contact sport and injuries may occur through no negligence of our staff. We feel it is our responsibility to ensure the safety of the attendee by making sure they come well equipped for the activity i.e. correct footwear, appropriate clothing, food/drinks if appropriate, medication (if applicable). I have read and understood this statement, completed all the details requested to the best of my knowledge and will comply with the information set out. I acknowledge and accept that Aldershot Town FC or respective servants shall not have any liability in respect with any loss or damage to property and give permission for my child to receive emergency medical treatment in my absence if deemed necessary.
 *