Player Registration

Player Name *

First Name

Last Name

Player Date of Birth *

MM

DD

YYYY

Parent/Carer Name *

First Name

Last Name

Emergency Contact *

First Name

Last Name

First Aid permissions *

Please tick all that apply

I give permission for basic first aid to be administered if necessary

I give permission for emergency medical treatment to be administered if necessary

Does your child have any medical conditions, allergies or disabilities we should be aware of? *

No

Yes

Photo and Media Consent. *

We take the safeguarding and privacy of children seriously. All images will be used responsibly and without identifying names. Please read the following statements and tick only one.

I do NOT give permission for my child to be photographed or filmed.

I give permission for photographs or videos of my child to be taken during football related activities and I give consent for these images to be used on the teams official social media, website and promotional materials.

Parent/Guardian Declaration *

Please tick the boxes below to confirm that: By registering your child with Football Club Chilton, you agree to the following:

I understand and accept FCC's Code of Conduct and Welfare Policies.

My child understands their FCC Player Promise.

I confirm that any photographs I take during football related activities will not be shared on personal social media accounts if any child other than my own is visible in the image, without express consent from the other parents.

I agree to inform the club of any changes to my child's details.