Crewe Town FC: Registration for the South Cheshire League

Please complete all parts of this form to register for the South Cheshire League (U11-U13) for the 2020/21 season (fields marked * are mandatory). Registration costs £44 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.

PLAYER DETAILS:

First name *
Last name *
Gender *
Date of birth *
Team *
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 *
Address 2
Town *
County *
Postcode *

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 *
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 *
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 *
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.

DECLARATION

BY TICKING THIS BOX I/WE AGREE TO THE FOLLOWING *

I/we agree to my child/ward taking part in the activities of the club
I/we confirm that I/we will support my child/ward to follow the Crewe Town FC Code of Conduct
I/we confirm that I/we have read and support the Young Players Code of Conduct
I/we confirm that I/we have read and support the Spectators Code of Conduct
I/we understand that I/we am responsible for travel arrangements to and from activities for my child/ward
I/we are prepared to support the club by volunteering to assist the club with at least one fundraising event during the year
I/we acknowledge responsibility for payment of all membership and club fees in accordance with club rules. No payment = no parcipitation
I/we acknowledge that all equipment, including playing kit, remains the property of the club, and will be returned without delay if so requested
I/we understand that failure to reimburse the club for fines related to misconduct on the playing field may result in suspension from the club or refusal of registration for the following season