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Player Registration Form
Use this form for club training and tournaments.
PERSONAL DETAILS – please print clearly
First name *
Surname *
Gender
Date of Birth
Postcode
Home address
Home Phone No
Mobile
Email *
ETHNICITY GROUP
Choose one
—
White British
White Irish
White European
Mixed
Asian British Indian
Asian British Pakistani
Asian British Bangladeshi
Black Caribbean
Black African
Chinese
Prefer not to say
Other
If “Other”, specify
EMERGENCY CONTACT
Name of Contact
Relationship with player
Phone Number
Mobile phone number
MEDICAL INFORMATION
Please detail any medical conditions (e.g. epilepsy, asthma, diabetes, allergies etc)
DECLARATION
Name
Date
If under 16
, a parent/guardian must sign, giving permission to participate.
Under 16?
No
Yes
Parent/Guardian Name
Date
Optional guardian contact details (for your club system)
Submit Registration
Cancel