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The Team
Timetable
Fees
Club Policies
Contact Us
Free Trial Sign Up
The Team
Timetable
Fees
Club Policies
Contact Us
Free Trial Sign Up
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Membership Sign Up Form
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Name of child:
*
Date of Birth:
*
Age at the start of September 2023
*
Home address:
*
Mum's Mobile Number
Mum's Email
Dad's Mobile Number
Dad's Email
Carer's Mobile number
Health Needs
*
Yes
No
Does your child have any known health needs? E'g. Diabetes, asthma, epilepsy, alletgies.
If yes, what does the Club need to do to help keep your child well e.g. administer planned medication/call/give snacks?
Do Club members need medical training other then First Aid to care for your child?
Communications, does your child have any communication needs e.g. non-English speaker/hearing impairment, sign language?
*
Yes
No
If yes, please specify
Religion & Culture - Does your child participate in religion practice?
*
Yes
No
If yes, what do we need to know to ensure your child's preferences/needs are met
Images - Please read below and indicate if this is acceptable to you.
*
No
Yes
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 purposes for which they are intended, which is promotion and celebration of the activities of the Club and for training purposes.
Consent of Legal Carer
First
Last
I give consent for my son/daughter to participate in Panitas Football Club's events and agree to the conditions outlined above. I accept that it is my responsibility to inform the Club directly of any changes to the details recorded on this form.
Date
Player's Consent PART A If you are over 11 years of age
First
Last
I agree to participate in Panitas Football Club's events as detailed above and agree to adhere to guidelines and or codes of conduct that may be issued in the interest of my own safety.
Date
Player's Consent PART B If you are under 11 years of age (copy)
First
Last
I will take part in Panitas Football Club's activities and will stick to the Clubs rules. I will tell the coach or another person if i do not feel well or if I have any worries.
Date
Shirt Size
YOUTH 5-6YRS 24/26
YOUTH 7-8YRS 26/28
YOUTH 9-10YRS 28/30
YOUTH 11-12YRS 30/32
YOUTH 13-14YRS 32/34
ADULT S 34/36
ADULT M 38/40
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