Player Details Trial Form

Medical Information Form
Does your son/daughter have any medical conditions that we should be made aware of? *
Does your son/daughter have any allergies (for example, food or medication)? *
Does your son/daughter currently take any medication? *
Are there any other personal or family medical conditions that we should be made aware of? *
Do you consent for your son/daughter to be photographed? (this is for our social media pages) *

Yes No

Consent Form
West Midlands Football Academy shall not be responsible for any accidents, injuries and illnesses sustained from participation in any of the events, activities, sessions, matches or training, or for loss or damage of any personal belongings. West Midlands Football Academy will also not accept responsibility for accidents, injuries and damage to personal property or vehicles at our venues or training facilities. Photographs may be used for promotional/publicity purposes by West Midlands Football Academy.

By signing below, you are agreeing to the statement above and are happy to participate, even during the COVID-19 pandemic, you are also agreeing to the COVID-19 guidelines that West Midland Foxes have put in place.
Parent Name: *
Signature: *

Clear
Date: *

Month Day Year
Thank you for showing an interest in our West Midlands Football Academy programme, we will be in contact shortly, with a trial date and time. If you have already received your trial date and time, then please turn up on the correct day. Thank you for your time, we looking forward to seeing you soon.
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Medical Information Form