Player Registration Form - U6 to U18

Initial contact made to determine team availability. This can be done through the website contact us form, social media platforms, email and telephone. *

I confirm I have made initial contact with the club and been advised which team I should register for.

Player Age Group *

Please select the applicable topic to help us direct your enquiry

Player Name *

First

Last

Player D.O.B (DD/MM/YYYY) *

Photo - Player Head & Shoulders *

Click or drag a file to this area to upload.

Photo - Player Birth Certificate *

Click or drag a file to this area to upload.

School / College Attended (Please type N/A if not at school) *

Medical Information *

Please include details of any medical conditions, allergies, disabilities, ongoing medication or treatment. (Please type none if not applicable)

Medical Content and confirm the medical information provided is complete and accurate *

I acknowledge and agree

I have completed the medical information and consent that in the event of such an incident any necessary treatment can be administered to my child by suitably qualified persons. I understand that whilst team and club officials will take every reasonable precaution to ensure that accidents do not happen, they cannot necessarily be held responsible for any loss of or damage to property or injury suffered by my child.

Players Home Address *

Address Line 1

City

State / Province / Region

Postal Code

Name of Parent (s) or Guardians *

Parents D.O.B (DD/MM/YYYY)

(this is required for FA Registration of youth players)

Mobile No. *

Home No. *

Email Address *

Emergency Contact -1 *

Please include Name, address and Phone numbers and specify relationship to player.

Emergency Contact -2 (if possible)

Please include Name, address and Phone numbers and specify relationship to player.

Photography and Videoing Consent *

I acknowledge & agree

I have read the policy and give permission for photographs/video to be taken of my child whilst participating in football at Langho FC (this includes team photographs) and whilst taking part in tournaments and club events, and, that such photographs/videos can be used for the promotion of Langho FC, publication in match reports & newsletters.

Code of Conduct for parents and spectators *

I acknowledge & agree

I have read the Club's code of conduct for parents and spectators, I understand my obligation towards the team, the opposing team, match officials and to the Club, and I agree to abide by its terms at all times.

Respect code of conduct for players *

I acknowledge & agree

I have read the Respect code of conduct for players with the player named on the registration form and he/she understands his/her obligation towards the game and the team, and will treat with respect the laws of the game, the opposing team, the match officials and to the officials and spectators of both teams, and I agree to abide by its terms at all times.

Registration Type *

This should be checked with your coach / manager if required

Please confirm if you would like to play matches (or not) and which day(s) (Your coach will confirm later based on availability.) *

I would like to play matches on Saturday
I would like to play matches on Sunday
I would like to play matches on both Saturday and Sunday
I would like to attend training sessions only

Club Fees -Please confirm that you authorise the following one off and recurring fees *

Club Registration Fees. Your annual registration and subscription fees will be applied as below based on your selection above and availability and managed through iTeammate / GoCardless over for 10 months). For U6, and where specifically agreed as "Training only" Annual Club fees are - £110 or £11 per month over 10 months. For U7, and above Annual Club fees are - £220 or £22 per month over 10 months. For Players playing Saturday and Sunday, an additional fee of £80 is charged over the 10 months.

If you have not already, you will need to setup an iTeammate account and a GoCardless account. Links can be found below and on our website menu. Please leave this mandate in place through the closed seasons where no fees will be taken and will help administration of following seasons payments.

Signature *

If completing this form on line, please enter your full name as signatory for this form.

Date Completed *

GDPR Agreement *

I acknowledge & agree

I consent to having this website store my submitted information so they can respond to my inquiry.

Player Registration Form – U6 to U18

Langho FC