STALBRIDGE YOUTH FOOTBALL

              
         PLAYERS REGISTRATION DETAILS

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NAME..................................................................

ADDRESS…………………………………………………………………...

…………………………………………………………………………………

DATE OF BIRTH…………………………………………………………....

SCHOOL……………………………………………………………………...

MEDICAL HISTORY………………………………………………………………………

PARENT/GUARDIAN SIGNATURE……………………………………….

TEL/ NO………………………………………………………………….......

MOBILE NO...............................................................................

E-MAIL ADDRESS……………………………………………………………

BY SIGNING BELOW YOU ARE GIVING STALBRIDGE YOUTH F.C PERMISSION TO PHOTOGRAPH & VIDEO YOUR CHILD DURING

MATCHES, FRIENDLIES & TRAINING TO BE USED ON THE CLUBS WEBSITE.

SIGNED............................................................PARENT/GAURDIAN.

DATE...........................