DEVELOPMENT PROGRAMME PLAYER REGISTRATION
Player Information
Full Name:
Date of Birth:
-
Day
-
Month
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email (if applicable):
Mobile Number (if applicable):
Any known medical conditions or dietary restrictions:
School:
Height (cm):
Shoe Size (US):
Acceptable Behaviour Contract (ABC):
*
I have read and agree to the ABC
Comments
Player's Mother/Guardian
Full Name:
Email:
Mobile Number:
Address (if different to player's):
Acceptable Behaviour Contract (ABC):
*
I have read and agree to the ABC
Photographs & Video - At times the club may wish to take photos or video of its teams or individual players. We adhere to strict guidelines to ensure these are safe and respectful and used solely for the purposes they are intended for, which is promotion and celebration of the activities of Island City F.C. and training purposes. Island City F.C. will take all steps to ensure these images are used solely for the purposes they are intended. Only club officials or those approved by the club will be permitted to take photographs of the children for publication on the website or in the media. No full names of any of the children will be published alongside the photographs.
*
I consent to photos and video of my child being used for the purposes mentioned above
Player's Father/Guardian
Full Name:
Email:
Mobile Number:
Address (if different to player's):
Acceptable Behaviour Contract (ABC):
*
I have read and agree to the ABC
Photographs & Video - At times the club may wish to take photos or video of its teams or individual players. We adhere to strict guidelines to ensure these are safe and respectful and used solely for the purposes they are intended for, which is promotion and celebration of the activities of Island City F.C. and training purposes. Island City F.C. will take all steps to ensure these images are used solely for the purposes they are intended. Only club officials or those approved by the club will be permitted to take photographs of the children for publication on the website or in the media. No full names of any of the children will be published alongside the photographs.
*
I consent to photos and video of my child being used for the purposes mentioned above
Player's Emergency Contact
Full Name:
Mobile Number:
Email:
Relationship to player:
Additional Information
Is the player covered by medical insurance?
Yes
No
Preferred Hospital
Is the player covered by travel insurance?
Yes
No
Signature
Payment Details
Annual registration costs $50 and includes an Island City FC training kit. Please enter your payment details below and click Submit
Player Registration Fee
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Annual Registration
$
60.00
SGD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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