Lionesses Registration

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ELDWICKJUNIORS FC

PLAy WITH PRIDE

ELDWICK JUNIORS LIONESSES

new LIONESSES REGISTRATION

* Indicates required field

Player & parent Details

Parent's Name *

First

Last

Landline *

Moblie Number *

Date of Birth - eg 18/07/1984 *

Childs Name *

First

Last

Date of Birth *

SCHOOL ATTENDING *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Child's Age Group *

U5 Lionesses - Reception U6 Lionesses - Year 1 U7 Lionesses - Year 2 U8 Lionesses - Year 3 U9 Lionesses - Year 4 U10 Lionesses - Year 5 U11 Lionesses - Year 6 U12 Lionesses - Year 7 U13 Lionesses - Year 8 U14 Lionesses - Year 9 U15 Lionesses - Year 10

age groups run alongside school years

Medical consent

agree medical consent *

yes I Agree

to my son/daughter if injured whilst playing football or travelling to and from football Events to receive medical attention if I cannot be contacted on the above number, I hereby consent for my child to receive medical attention

please declare any medical information below *

In the Event That the Above Named Parent/Guardian Cannot be Reached, Please Give an Emergency Contact Name and Telephone Number

Name *

First

Last

Phone Number *

Date of Birth *

The Taking and Use of Photos/Videos

Media Consent *

Yes No

Yes, I agree to allow my child/children to be photographed/videoed during training or matches and for the club to use the images ( e.g. website) providing it is done in line with the FA guidelines

No, I do not consent to my child /children being photographed or videoed - if selected you must tell the coach as soon as possible.

The Club's Data Storage,Usage and Access Policies and Your Rights (GDPR)

I give permission for the club to send me information from carefully selected organisations. I realise that the club will not pass on my details to any organisation and that I can withdraw this permission at any time by informing the club via an email to eldwickjuniors@gmail.com.

The Eldwick Juniors committee, coaches and squad helpers can see, edit or use your membership data. We will use the data you provide to help us identify you and your child/children as members of the club and your squad and to send you information about club and squad matters. We do not see or hold any credit/debit card or bank details. If you are concerned or know about your data being used inappropriately please inform us immediately by telling a coach or emailing us on eldwickjuniors@gmail.com. If we identify or are informed about a breach of data rules or our policies, we will get in touch with you and report it to the appropriate authorities within 72 hours

GDPR Agreement *

Yes

Membership Agreement (Terms & Conditions)

I agree to abide by the Club's Parents/Guardians' Code of Conduct and will ensure that my son/daughter will abide by the Club's Players Agreement.
I agree not to publicly criticise or abuse match officials, coaches, managers, or players of Eldwick Juniors and other clubs. I am aware that if I break the code of conduct that my son/daughter may be required to leave the club.
I agree that I, or a responsible person nominated by me, will remain with my child/children and will be responsible for them during matches and training

eldwickjuniors.co.uk/terms-conditions

I have read & agree to terms & conditions *

I agree to receiving marketing and promotional materials *

Submit

Eldwick Recreation Ground, Otley Road, Eldwick Bingley, BD16 3EQ

eldwickjuniors@gmail.com