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Player Registration Form - 2010-2011
Why is this form important?
We may need to contact you.
It gives us an idea of medical conditions.
It authorises medical treatment to commence if you are not around.
It highlights some parental and club responsibilities.
Parent’s / Guardian’s Declaration
I wish to register my child for Woodley Saints for the forthcoming season.
I agree to my child taking part in matches, training and other activities organised by Woodley Saints FC.
I agree to my child receiving medication as instructed and any emergency dental, medical or surgical treatment, including anaesthetic or blood transfusion, as considered necessary by the medical authorities present.
I have read and understood the above notes, and the information I have given is complete and correct to the best of my knowledge.
I confirm that the Manager/Coach of my child’s squad has delivered the “FA Respect” message and that I understand the FA guidelines.
I confirm that I have read and understand the Clubs Code of Conduct (available to download
here
)
Registrations
Child's Name
Date of Birth
(dd-mm-yyyy)
Address:
Team:
Please select
Development Centre-Richard Armand
U7 Lions-Colin Crabtree
U7 Tigers-Colin Crabtree
U8 Kites-Steve Abraham
U8 Hawks-Richard Armand
U8 Eagles-Lee Bennett
U8 Tigers-Mark Munnery
U8 Cougars-Michael Hall
U9 Tigers-Martin Sollitt
U9 Panthers-Simon Schafer
U10 Lions-Steve Evans
U10 Pumas-Richard Armand
U10 Tigers-Lee Bennett
U10 Panthers-Dave Caswell
U10 Cougars-Spencer Dainton
U11 Kites-Leslie Thelwall
U11 Falcons-Terry Robinson
U11 Lions-Jonathan Edmonds
U12 Tigers-Nathan Parr
U12 Lions-Brian Harris
U13 Lions-Gerry Biddle
U14 Lions-Steve Abraham
U14 Jaguars-David Groves
U15 Stingrays-Tony Jefcut
U16 -Liam Duffy
U17 Angels-Craig Boyles
U17 U17's-Colin Crabtree
Men Sunday-TBD
Ladies -Dave Caswell
amhall47@ntlworld.comm
Bennettbunch123@btinternet.com
bidds@talktalk.net
bkharris@live.co.uk
carolyn.keel@ntlworld.com
caz@caz2000.fsnet.co.uk
chelleboys@googlemail.com
colincrab@sky.com
Craig.boyles@02.co.uk
davidgroves@hotmail.co.uk
gill@marnis.force9.co.uk
jdpulfer@myhome-pc.freeserve.co.uk
jonathan.edmonds1@btopenworld.com
leslie@thelwall.com
lsduffy13@ntlworld.com
Mark_munnery@hotmail.com
martindawnsollitt@btinternet.com
martingoodfellow@hotmail.co.uk
Richard.Armand@networkrail.co.uk
simon.schafer@gmail.com
spencer.dainton@ntlworld.com
steveabraham@talktalk.net
susan3@sky.com
Terence.Robinson@virgin.net
vicksithompson@aol.com
Contact Details
Main Contact Name
Second Contact Name
Main Contact Home Telephone:
Second Contact Home Telephone:
Main Contact Mobile:
Second Contact Mobile:
Main Contact Email:
Second Contact Email:
Medical Details
Doctors Name:
Doctors Telephone:
Medical Information:
By completing the declaration, you give your consent to Woodley Saints taking appropriate action in a medical emergency, should we be unable to contact you to obtain consent. All Managers have current F.A Coaching/Child protection/first Aid certificates a copy can be provided if requested. Note that the club carries Public Liability insurance on behalf of all the players, managers and other club officials. However the club does not have personal accident insurance; should you wish to consider having this cover for your child, details of suitable policies are available from local schools.
Images
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 they are intended for, which is promotion and celebration of the activities of the club and training purposes. Please indicate if this is acceptable to you
Yes
No
Fees & Confirmation
Details of Fees for 2010/2011 Season can be found here:
Fees Document
If you have a child in another age group you are entitled to a reduced registration fee which is 15% discount on the full fee. Please complete the 2nd child’s name and Woodley Saints Team and age group below..
Sibling's Name
I wish to be added to the Woodley Saints Mailing List
I wish to make my initial payment via paypal now
I wish to make the full payment via paypal now
I do not wish to make a payment now
I confirm the details completed above are correct and I have read the parents declaration
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