Timperley & District Junior Football League Player Registration Form

Timperley & District Junior Football League Player Registration Form - 2017/18 Page 2

Sale Communities JFC

Club Registration & Contact Form (SCPR2)

School Year 2017/18

Date Of Birth

Age Group 2017/18

Name

e-mail address

Male/Female

Address & Postcode

Home Tel Number

Mobile Tel number

Ethnicity?

Do you have any special dietary requirements, access or support needs?

Do you have any allergies or medical conditions you need us to be aware of?

Emergency Contact Name

Emergency Contact Number(s)

If you are under 18 please get a parent/guardian to complete the boxes below:

Please sign and print name below to confirm that you consent to the above named person attending

SCJFC training, games or events and have checked and confirmed that the information provided above is

correct.

Signed

Print Name

Relationship to person seeking consent

Date

This form must be completed and along with all registration forms handed in on the Club Registration

Evening/session with the £30 League Registration Fee (where applicable)

Information provided on this form will only be used by SCJFC in emergencies and for SCJFC records. It will not

be passed on to any other organisation or individual.

SCJFC NP 200517

SCPR2

Timperley & District Junior Football League Player Registration Form - 2017/18 Page 2