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Player Registration
A registration form for capturing player details
Step
1
of
4
25%
Direct Debit Payee Details (pre filled - not editable)
This form can only be filled in by following the link to register your player alongside your active subscription in your account. My Account - Subscriptions - View - Register Player
Subscription ID
(Required)
Payee First Name
(Required)
Payee Last Name
(Required)
Players Details & Registration
Players First Name
(Required)
Players Surname
(Required)
FA Number if known (FAN)
An FA Number (FAN) is a unique identification number which holds all your details and qualifications on the FA administration system.
Player Photo
Accepted file types: jpg, gif, png, pdf, heic, heif, Max. file size: 10 MB.
Please provide a recent passport style photograph of your child. This will be used in the registration process.
Players Date Of Birth
(Required)
DD dash MM dash YYYY
Players Age at Start Of Season
(Required)
Choose
5
6
7
8
9
10
11
12
13
14
15
16
17
Age Group/Team/Teams your player plays for
Select all that apply
U6
U7
U8
U9
U10 Sharks
U11 Raiders
U12 Cobras
U12 Comets
U12 Titans
U13 Raiders
U14 Vipers
U15 Spartans
U15 Trojans
U16 Knights
U16 Warriors
U17 Hurricanes
U17 Red Kites
Players Main Address
(Required)
Street Address
Address Line 2
Town/City
Post Code
Parent / Carer Details
First Parent/Carer Name
(Required)
First
Last
First Parent/Carer Phone Number
(Required)
Second Parent/Carer Name
First
Last
Second Parent/Carer Phone Number
Health & Permissions
Does your child have any known health/medical needs? e.g Diabetes, Asthma, Epilepsy, Allergies
(Required)
No
Yes
If you answered yes to the previous question please state below health needs and state specific requirement of club/coach to keep your child well (administer medication, give snacks, call ambulance/seek medical help) please be specific.
(Required)
In the event my son/daughter is injured whilst playing football and i cannot be contacted on the emergency contact details provided prev, my child can receive medical attention:
(Required)
No
Yes
Does your child have any communication needs? e.g non-English speaker/hearing impairment/sign language user/dyslexia etc? If Yes, please tell us what we need to do to enable him/her to communicate effectively with us:
Does your child participate in religion or spiritual practise? Please tell us what it is and what we need to know to ensure your childs preferences/needs are met, e.g are there any dietary guidelines/dress codes we need to follow or support?
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 the purposes for which they are intended, which is promotion and celebration of the activities of the Club and for training purposes. Please indicate if this is acceptable to you.
(Required)
Yes - I'm happy for photos and videos to be taken of my child
No - I do not wish for photos or videos to be taken of my child
If you have any additional information which you wish to share with the Club, please contact the club Designated Person.
Outside of Football
(Required)
There may be occasions when your child is involved in planned and structured non-football activities such as a trip to the cinema, bowling or participating in a fundraising event. The Club will have collected appropriate information in preparation for the activity (e.g. about the journey, the children’s various needs and helper skills), identified any potential risks or dangers, minimised the risks and dangers by careful planning and precautions and made sure we know who is responsible for putting precautions into place (e.g. who will carry the First Aid kit). This process is called a risk assessment.
There may be occasions when your child is involved in planned and structured unsupervised non-football activities (e.g. shopping trips) whilst on tour. Players will only be permitted to participate in these activities if it is considered appropriate to do so. You will be informed prior to the event if any form of remote supervision will take place for such activities and the nature of these activities
I understand information above
I do not wish for my child to be involved in any events outside of football
There may be occasions when your child has the chance to be involved in planned and structured swimming activities. On these occasions appropriate supervision, including qualified lifeguard cover, will be provided.
(Required)
Select any that may apply
I confirm that my son/daughter can swim 50 metres
I confirm that my son/daughter is confident in a pool
I confirm that my son/daughter is confident in the sea or in open inland water
I do not wish for my son/daughter to take part in any swimming activities
I agree all the information above is true and accurate
(Required)
I agree
Parent Carer Full Name
(Required)
This will act as your signature for this document
Todays Date
(Required)
DD slash MM slash YYYY
Code Of Conduct
Player Code Of Conduct
As a player for Winlaton Community Juniors I understand and agree to abide by the FA Respect and Code of Conduct at all times. I understand that failure to adhere to the rules at all times may result in my withdrawal from the team/club.
(Required)
I Agree
Players Full Name
(Required)
Parent Carer Code Of Conduct
As a parent/Carer/spectator of the above named child I agree to abide by the FA Respect and Winlaton Community Juniors Code of Conduct at all times. I understand that failure to adhere to the rules at all times may result in both myself and my child being withdrawn from the team/club.
(Required)
I Agree
Parent Carer Full Name
(Required)
Todays Date
(Required)
DD slash MM slash YYYY
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