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This would be the school year when the player returns in September 2023.
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Medical Conditions
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Has the Player any Serious Medical Conditions? *
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If yes, please confirm that you consent to the Club holding this special category data in
respect of your child on the Club’s central player register and informing your child’s coach of
the condition: *
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Emergency Contact Details
Please provide at least one emergency contact.
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Sibling Discount
If you have more than one child at the club, there will be £10 deduction. For example, 1 player in U10's pays £50 and sibling in U8's then pays £40. The discounted rate applies to multiple siblings or one-half of twins. Your coach will email you the discount code.
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Current Photograph of the Player
Please upload a current photo of the player. This photo will be used on the Player's registration file and needs to be a good likeness of the Player.
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Club Marketing
From time to time we may contact you about club information and news. If you are happy to receive this information by email please tick the box.
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Data Policy:
o The data collected on this form will be stored on the Club Player Register which is accessible only
by the Club Chairman and Secretary. A shortened form will be passed to your child’s coach.
o Certain data will also be entered onto the FA’s Whole Game System which is a club requirement as
a club affiliated to the FA.
o Special category health information is required to ensure the health and safety of your child.
o Full information on the way we process, store and collect information about you can be found on
the Club’s Privacy Policy at www.hbjfc.co.uk
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Parent's / Guardians Signature
I, the parent or guardian, of the player named above hereby:
i) Agree to be bound by and to observe the Club rules.
ii) Agree to my child receiving medical treatment in the event that my child is injured while playing football.
iii) Recognise, acknowledge and understand the following:
• My child's participation in the Activity (football undertaken at HBJFC) carries with it certain inherent risks that cannot be eliminated regardless of the care taken to avoid injuries;
• My child is physically able to participate in the Activity and I know of no disability or prior
injury which would prevent my child's participation in the Activity or potentially lead to
my child becoming injured or the injury of another;
• My child's participation in the Activity is voluntary and is at his or her own risk.
• Notwithstanding the above risks, which I recognise and accept, and in consideration of being permitted to participate in any way in the Activity, I, for myself and my child, do hereby waive, release and discharge HBJFC, the club's officers, and officials from any and all claims for personal injury, accidents, or illnesses (including death), and property damage arising in any manner out of my child's participation in the Activity, including transportation to and from the Activity.
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Confirmation of Information Supplied *
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I understand this is a legal representation of my signature.
Clear
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Please Submit this Form to continue to the Subscriptions Payment Page.
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