Club Registration

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ELDWICK JUNIORS LIONESSES
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CLUB REGISTRATION

Player & parent Details

* Indicates required field

Parent's Name *

First

Last

Landline *

Moblie Number *

Parents D.O.B *

Email *

Occupation *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Childs Name *

First

Last

Date of Birth *

SCHOOL ATTENDING *

Team / Age Group *

Little Eagles - ABC Little Eagles - (Skill) Year 1 Eldwick U7's - Year 2 Little Eagles - (ABC club) Eldwick U8's - Year 3 Eldwick U9's - Year 4 Eldwick U10's - Year 5 Eldwick U11's- Year 6 Eldwick U12's - Year 7 Eldwick U13's - Year 8 Eldwick U14's - Year 9 Eldwick U15's - Year 10 Eldwick U16's -Year 11 Eldwick U17/8's - Year 12 &13

age groups run alongside school years

KIT SIZE - Information *

Medical consent

agree to my son/daughter if injured whilst playing football or travelling to and from football Events to receive medical attention if I cannot be contacted on the above number, I hereby consent for my child to receive medical attention

Agree medical consent *

please declare any medical information below *

In the Event That the Above Named Parent/Guardian Cannot be Reached, Please Give an Emergency Contact Name and Telephone Number

Name *

First

Last

Phone Number *

The Taking and Use of Photos/Videos

* Yes, I agree to allow my child/children to be photographed/videoed during training or matches and for the club to use the images ( e.g. website) providing it is done in line with the FA guidelines

* No, I do not consent to my child /children being photographed or videoed - if selected you must tell the coach as soon as possible.

media consent *

The Club's Data Storage,Usage and Access Policies and Your Rights (GDPR)

I give permission for the club to send me information from carefully selected organisations. I realise that the club will not pass on my details to any organisation and that I can withdraw this permission at any time by informing the club via an email to eldwickjuniors@gmail.com.

The Eldwick Juniors committee, coaches and squad helpers can see, edit or use your membership data. We will use the data you provide to help us identify you and your child/children as members of the club and your squad and to send you information about club and squad matters. We do not see or hold any credit/debit card or bank details. If you are concerned or know about your data being used inappropriately please inform us immediately by telling a coach or emailing us on eldwickjuniors@gmail.com. If we identify or are informed about a breach of data rules or our policies, we will get in touch with you and report it to the appropriate authorities within 72 hours

GDPR Agreement *

Membership Agreement (Terms & Conditions)

I agree to abide by the Club's Parents/Guardians' Code of Conduct and will ensure that my son/daughter will abide by the Club's Players Agreement.
I agree not to publicly criticise or abuse match officials, coaches, managers, or players of Eldwick Juniors and other clubs. I am aware that if I break the code of conduct that my son/daughter may be required to leave the club.
I agree that I, or a responsible person nominated by me, will remain with my child/children and will be responsible for them during matches and training

One payment - £180 full payment for 2022/23 season
one SIBLING payment - £90 full paymeny for 2022/23 season
monthly - £20 x 9 = £180 (1st each month sept - may)
sibling monthly - £10 X 9 = £90 (1ST EACH MONTH SEPT - MAY)
TRAINING only monthly - £12 each month
team helper / coach monthly - £10 X 9 = £90 (1ST EACH MONTH SEPT - MAY)

Club Membership options *

I agree to terms & conditions *

ELDWICK JUNIORS - terms & Conditions

Submit

Eldwick Recreation Ground,
Otley Road, Eldwick Bingley,
BD16 3EQ

eldwickjuniors@gmail.com