St Leonard’s Juniors FC Registration Form

Complete this form if you’d like to register a player for St Leonard’s Juniors 3v3 football matches!

Parent/Guardian Details

Full Name *

Mobile Number *

Email *

Emergency Contact Details

Emergency Contact Name *

Relationship to child *

Emergency Contact Phone Number *

2nd Emergency Contact Name

2nd Emergency Contact Phone Number

Just need a little information about your superstar!

Childs First Name *

Child's Last Name *

Child's D.O.B *

Current School

Please list any medical or other important information here…

Medical Consent - in the event that the named child is injured whilst playing football or travelling to and from football events and I cannot be contacted on the above number, I hereby give my consent for the named child to receive medical attention. *

Yes

Data Protection - I accept the Data Protection Privacy Policy Key Privacy Statement and agree to St Leonard’s Juniors Football Club holding the personal data of the named player (when under the age of 18) on their secure database and to use the data appropriately for football related purposes within the Football Club and with external third-party organisations. *

Yes

I give permission for film and/or photographs to be taken of the named player. *

Yes

I give permission for the player’s name to be published. *

Yes

Terms and Conditions

SLJFC Code Of Conduct

Click here to view SLJFC Code Of Conduct

By submitting this form I hereby confirm that both my child and I have read the SLJFC Code Of Conduct and agree with all sections detailed above.