NWCU Regional Registration 2020

Address *

Players Details
Name *
Club
School
DOB *

Day Month Year
Date Date Picker Icon
Which open sessions will be attended

U17- Monday 30th September, 7pm - 9pm (Bready CC) U17- Wednesday 9th October, 7pm - 9pm (Bready CC) U17- Sunday 13th October, 1:30pm - 4:30pm (Bready CC) U15- Wednesday 2nd October, 7pm - 9pm U15- Monday 7th October, 7pm - 9pm U15- Sunday 13th October, 10am - 1pm
(U17 - For players aged 16 or under by 1st July 2019)

(U15 - For players aged 14 or under by 1st July 2019)
Any specific conditions or allergies requiring medical treatment, medication or special attention (for any of the children above *

Yes No
If yes; please provide details:
Consent

I agree to have my child photographed/videoed for publicity purposes in line with the unions child protection policy. I give permission for the coaches present to give the immediate necessary first aid & and take appropriate steps to ensure minimum delay if a medical emergency arises.
Form Completed by *
Date *

Day Month Year Date Picker Icon
Should be Empty:

Online Registration