Get Involved Consent Form Player Carer Details Your Name (required) Date of Birth (required) Age Group (required) Preferred Position (required) Your Current Club (required) Parent/ Carer Details Name (required) Address (required) Your Email (required) Emergency Contact (required) Medical Information: Please advise of any health / medical needs that the player has & which are relevant to playing football. Please be reassured that information is kept confidential & has no bearing on the opportunity to partake in training. This is to ensure that all players’ needs are met during each training session. Player Medical Information Images - At times the Club may wish to take photos or videos of the team or individuals in it. We adhere to The FA Guidelines to ensure these are safe, respectful and used solely for the purposes for which they are intended, which is promotion and celebration of the activities of the Club and for training purposes. Is this acceptable to you? Please tick if yes. Please tick this box if anyone in your household had Covid 19, or has shown symptoms. Signed By Player Signed By Parent Development Centre ✓ Training throughout the year during school term time ✓ Sessions that are pre-organised and ready before the players arrive ✓ Coaches who are UEFA & FA qualified ✓ Coaches with Full Enhanced CRB (CRC), Emergency Aid & Safeguarding Children certificates ✓ All required equipment ✓ Full public liability & personal accident insurance ✓ An age & ability appropriate curriculum, providing a future development pathway for all players ✓ Special events for everyone (children, parents & coaches) such as Parents vs Coaches friendly matches, Annual Football and more. APPLY FOR A TRIAL Get Involved! Beversbrook Ln, Calne SN11 9FL Enter description text here. 07817015732 Enter description text here. firstname.lastname@example.org Enter description text here.