Participant's First name | * |
Participant's Last name | * |
D.O.B. | * |
Outfield players ONLY (Defender, Midfielder, Striker) |
Age Group for 24/25 Season | * |
Ticket | * |
Playing position | |
Address 1 | * |
Address 2 | * |
City | * |
Postcode | * |
Medical info/Allergies: | * |
How would you describe the participant's gender? | * |
What is the participant's ethnicity? | * |
Playing History | |
Please ensure you enter the parent/ guardian's contact number and email only. |
Parent / Guardian Name | * |
Home Telephone | |
Mobile | * |
Email | * |
Repeat email | * |
Alternative Emergency Contact |
Alternative Emergency Contact Name | * |
Alternative Emergency Contact Relationship to Player | * |
Alternative Emergency Contact Number | * |
Consent and Permissions |
* |
Terms and Conditions
Activity Code of Conduct
Privacy Policy
|
Do you give consent for the participant to be included in photography and filming and for the images/ recordings along with their data to be used to celebrate and promote our activities through our website, marketing material and social media? | * |
Consent to Emergency Aid Treatment | * |
Please note that players already within our pathway, are continually assessed by our coaches and placed in the appropriate group for their required level of challenge.
In view of this, players currently in our pathway, do not need to attend these trials.
|
Is your player already part of our pathway? | * |
* |