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Football Club Membership Form

Register players at your club with everything needed: age-group team, emergency contacts, medical information and the Gift Aid declaration. It also identifies families willing to help as volunteers.

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Which team/age group is the player associated with?*

Under 8 Under 10 Under 12 Under 14 Under 16 Under 18 Senior team

Player Full Name*

Nombre

Apellido

Player Date of Birth*

Parent/Guardian Full Name*

Nombre

Apellido

Your relationship with the player*

Player (over-18) or Parent/Guardian Address*

Dirección

Ciudad

Estado / Provincia

Código postal

Player (over-18) or Parent/Guardian mobile phone number*

Player (over-18) or Parent/Guardian e-mail*

Name of emergency contact*

Nombre

Apellido

Emergency contact mobile phone number*

Emergency contact relationship with the player*

Name of SECOND emergency contact*

Nombre

Apellido

SECOND emergency contact mobile phone number*

SECOND emergency contact relationship with the player*

Please provide details of any medical information or medication requirements club officials should know about*

Gift Aid declaration: if you are a UK taxpayer, the club can reclaim tax on your fee.

Name of person associated with the Gift Aid declaration*

Nombre

Apellido

Would you ever consider volunteering with the club?*

Yes No Maybe later

Do you have a trade you are willing to share with the club?*

On a scale of 1 to 10, how would you rate your child's experience with the club so far?*

Not likely

1 2 3 4 5 6 7 8 9 10

Very likely

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