PLAYER REGISTRATION

Player Details
NAME		D. O. B
ADDRESS		TOWN
POSTCODE		TEL (HOME)
EMAIL		TEL (MOBILE)
Emergency Contact Information
CONTACT 1 - NAME		TEL 1
TEL 2		TEL 3
CONTACT 2 - NAME		TEL 1
TEL 2		TEL 3
Medical Information
DETAILS

Parental Consent

By returning this completed form I agree to the child named above taking part in the normal activities of the Club. I have read the Club Constitution, Rules and Regulations  and Code of Conduct for Players and Parents / Guardians and agree to abide by those whilst in the care of the Club and I understand that any serious or continued breach of these codes may result in my child being subject to disciplinary action by the Club.

Parent / Guardian Name: _________________________

Parent / Guardian Signature: ______________________           Date:  ______________

Photography

From time to time the Club may wish to take pictures for our Website (www.paisleysaintsgirlsfc.co.uk), use in local, regional or national media to promote the work of the Club. Any photographs taken will be used solely for our Website and promotional purposes. Please sign below to indicate your agreement for pictures to be taken for the above reasons.

Parent / Guardian Name: _________________________

Parent / Guardian Signature : ______________________             Date: _______________