Please complete all parts of this form to register for Alexandra Soccer League (U7-U10) for the 2020/21 season (fields marked * are mandatory). Registration costs £25 for the season and payment will be requested upon completion of this registration form.
A PLAYER WILL NOT BE REGISTERED WITH THE CLUB AND CANNOT TRAIN OR PLAY MATCHES UNTIL THIS FORM HAS BEEN COMPLETED IN FULL.
First name *
Last name *
Gender * SelectMaleFemale
Date of birth *
Team * Under 7 - Ninja (Year 2)Under 8 - Panda (Year 3)Under 9 - Tigers (Year 4)Under 9 - Leopards (Year 4)Under 9 - Allstars (Year 4)Under 10 - Lions (Year 5)Under 10 - Allstars (Year 5)Under 10 - Predators (Year 5) Select the age range that the player will be during the 2020/21 season as they would be in the next school year from Sept 2020.
Address 1 *
PARENT GUARDIAN DETAILS:
Parent/guardian first name *
Parent/guardian lastname *
Parent/guardian date of birth *
FA FAN numer (if known)
Contact phone number *
Alternative phone number
Email address *
Verify email address *
Alternative email address
MEDICAL DETAILS * Select after reading the statement belowI consent to Crewe Town FC processing details of medical conditions/allergiesI DO NOT consent to processing details of medical conditions/allergies
To ensure that we understand any possible health risks for safeguarding and health and safety pusposes, we need to ask for details of any medical conditions/allergies that you think we should be aware of. This information will be treated as confidential but may be shared with the Team Manager and key members of the club committee as necessary. All medical details will be deleted at the end of the season if you leave the club. We will only process details on medical history with your consent.
Please now give details of any medical conditions/allergies that you think we should be aware of. Please note all necessary medication must be taken to training and matches.
EMERGENCY MEDICAL TREATMENT * Select after reading the statement belowI consent to my child receiving emergency medical treatment in my absanceI DO NOT consent to emergency medical treatment in my absance
It is the responsibility of the parent/guardian to be with their child/ward during games, training, tournaments and other club events. In the event of an accident or other medical emergency every effort will be made to contact you. If you are unable to be contacted do you give consent to your child/ward receiving urgent medical treatment, which in the opinion of a qualified medical practitioner may be necessary, and accept that such practitioner will need to be informed of any medical conditions disclosed above.
PHOTOGRAPHIC CONSENT * Select after reading the statement belowI consent to Crewe Town FC using photographs for the purpose of club promotionI DO NOT consent to photography
Crewe Town FC may sometimes take photographs of players and teams at games / training / tournaments / presentation days and other club events for the purpose of club promotion. These photos may appear on the club website, social media accounts, club newsletters or be published in local newspapers. All photograpy is conducted in line with our Photographic Policy and we will not use any photographs without your consent.
BY TICKING THIS BOX I/WE AGREE TO THE FOLLOWING *