Player Information Form - Essex Spartans A.f.o

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ESSEX SPARTANS A.F.O
PLAYER INFORMATION FORM
CONTACT DETAILS
FULL NAME:
ADDRESS:
POSTCODE:
PHONE NUMBERS:
MOBILE:
HOME:
EMAIL ADDRESS:
DATE OF BIRTH:
/
/
WEIGHT:
LBS
HEIGHT:
FT.
INCHES
Please indicate below your availability to attend practice, classroom and game days:
Saturday [Game]
Sunday [Practice/Game]
Monday evening [Practice only]
Wednesday evening [Practice only]
Friday evening [Practice only]
What sports do you currently play?
Name of Sport
Name of Club
Position Player + Experience (Yrs)
What American Football Team do you support?
How did you hear about us?
Do you have a Facebook Account?
YES / NO
Please tick this box if you do NOT wish to receive future Essex Spartan communications
MEDICAL INFORMATION
DOCTOR:
SURGERY ADDRESS:
POSTCODE:
PHONE NUMBER:
If you have any special needs or specific requirements, or have pre-existing medical issue or injury which
coaching staff or trainers should be made aware of, please make a note here:
Do you suffer from any condition(s) requiring medication?
YES / NO
If yes, please give details here:
Are you allergic to any medications?
YES / NO
If yes, please give details here:
Do you have any allergies?
YES / NO
If yes, please give details here:
Do you have any special dietary needs?
YES / NO

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