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Membership Form

Player's Full Name *

First

Last

Team *

Age Group *

Address *

Post Code *

Date Of Birth *

Parent / Guardian Full Name *

First

Last

Parent / Guardian Date Of Birth

Parent / Guardian Telephone Number(s) *

Parent / Guardian Email Address *

Medical Conditions We Should Be Aware Of?

Ethnic Origin *

White
Black African
Black Carribean
Black Other
Chinese
Pakistani
Indian
Other

Code Of Conduct For Players *

I Agree

I have read the Code of Conduct for Forest Hall Juniors Players and I agree to abide by these rules.

Code of Conduct Medical Consent *

I Agree
I Do Not Agree

In the event that my Son / Daughter is injured whilst playing football / travelling to and from football events and I cannot be contacted on the above number, I hereby consent to my child receiving medical attention.

Code of Conduct Photography *

I Agree
I Do Not Agree

Photographs/videos may be taken of children for team photos for sponsors, for display in the clubhouse, newspaper articles and the club website, social media NB Players names will not be directly attributable to photographs

I Agree To Pay Subscriptions For My Child *

9 x Monthly at £28 Per Month
1 x Annual Payment Of £240

I agree to pay subscriptions for my child via Direct Debit, for the season whilst my child remains a member of the club.

Would You Like To Pay Subscriptions Via Go Cardless? *

Yes
No

Membership Fee Paid? (£20) *

Yes
No