Chester FC Walking Football Registration & Consent Form

1

Participant Name* This field is required.

First Name

Last Name

2

Date of Birth* This field is required.

Date

3

Contact Number* This field is required.

Mobile Number

4

WhatsApp GroupWe have a WhatsApp group for players to keep in contact and share updates on sessions and fixtures. Are you happy to be included in this?

YESNO

5

Email* This field is required.

example@example.com

6

Medical InformationPlease give details of any allergies, medical conditions, medication requirements, dietary needs, access needs or other relevant information.

7

Emergency Contact Name* This field is required.

First Name

Last Name

8

Emergency Contact Phone* This field is required.

Mobile Number

9

Do you give consent to be included in photography and filming while taking part in our activities?* This field is required.

Yes

No

10

Do you give consent for images to be used to celebrate and promote our activities through our website, marketing material and social media?* This field is required.

Yes

No

11

First Aid & Assistance

In the unfortunate event of accident or injury, we need your consent to adminster first aid and. All coaches have completed Emergency First Aid training.

12

Do you give consent to receive first aid treatment and assistance if required?* This field is required.

Yes

No

13

Booking Terms & Conditions

Refunds: Please note refunds will not be issued due to bad weather. We are unable to credit or refund due to illness unless special circumstances.

Accident & Injury: By registering to attend Chester FC Community Trust sessions, I give consent for the above named participant to take part in physical activities and accept that on rare occasions accidents and injuries may occur. Chester FC or Chester FC Community Trust can accept no liability for accidental injuries sustained by participants during our sessions