Twyford Comets Football Club Youth Player Registration

Player Registration and Medical Consent Form (2017/2018)

All Parents/Guardians are requested to fill in this form once per player for the 2017/2018 season. All information will be securely held by the club and held in accordance with the Data Protection Act. All information is only used for the running of the club. Should you have any issues or concerns completing this form, then please email clubsecretary@twyfordcomets.com for additional guidance/assistance.
Player Details
Please select type of Registration. If the player is training only, and does not play matches, then Club Registration Fees do not apply, and the player is not supplied a kit. *

Training and Matches Training Only
Player Name *

First Name Last Name
Date of Birth *

/ Year / Month Day
Date
Gender *

Male Female
School *
Age Group for 2017/2018 *
Based on age as of September 2017

Player's Medical
Does the player have any conditions which require ongoing medical treatment including medication, and if so please provide any relevant details below: *
Does the player have any allergies including allergies to medication, and if so please provide details: (Please include details if allergies require an Epipen and where this will be kept when player is at games or training) *
Are there any medical conditions/doctor's advice which may prohibit or limit activities the player may partake in? *
GP Surgery *
GP Name *

GP Surgery Address

Home Address *

Mobile Phone Number *
Volunteering (full support and training will be provided by the club)(for either parent/carer)

I am able to volunteer time to help with the coaching and/or managing of the team. This may be helping setup, collecting monies, coaching or managing. I am able to volunteer time to help with the running of the club. This may be to help out at events, club administration, or volunteer for one of the defined roles within the club. I am able to assist the club by either sponsoring a team, sponsoring an event, sponsoring the club, or by organising a sponsorship of the team or club through my business/employer.

Address

Declaration
I have read the Codes of Conduct (linked below), agree to adhere to them and accept that the Club may take disciplinary action if I or the player do not adhere to them. *
Terms and Conditions *
Is there anything else we need to know with regards to this registration? *
By typing your name into the two fields below, you indicate that you agree to the terms and conditions of the registration form. *

First Name Last Name
Should be Empty:

Player Registration and Medical Consent Form (2017/2018)