St Ann's and Sneinton FC
Consent Forms
Name
*
First Name
Middle Name
Last Name
Date of Birth
*
/
Day
/
Month
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Child's School
*
Child's Ethnicity
*
Please Select
Asian Bangladeshi
Asian Indian
Asian Pakistani
Black African
Black Carribbean
Chinese
White British
White Irish
White/ Black Carribbean
White/ Black African
White British/ White Irish
What team does your child play for?
*
Please Select
Under 7
Under 8
Under 9
Under 10
Under 11
Under 12
Under 13
Under 14
Under 15
Under 16
Parents Email
*
example@example.com
Does your child have any medical needs/Allergies?
*
If None please type N/A in the box
Doctors Information
Doctors Name
*
First Name
Last Name
Doctors Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Doctors Phone Number
*
-
Area Code
Phone Number
Emergency Contact Details
Emergency Contact #1
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Relation to Child
*
Emergency Contact #2
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Relation to Child
*
Photographic/Video Consent
There will be times when the club would like to take a photograph / video to promote the clubs activities. Please tick the box(s) below to give consent.I consent to photographs & videos of my child being taken during St Ann’s and Sneinton Football Clubs Activities. Any photographs / videos taken by representatives of the club will be used for the sole purpose of promotoing the St Ann’s and Sneinton Football Club Via
Please tick
*
Facebook
Twitter
Instagram
Club website
YouTube
Local News/Newspaper
No Photo
Contacting Parents
From time to time we may like to contact you to promote an upcoming event. Please choose from our dropdown box below on how you would like to be contacted
How would you like to be contacted?
*
Text
Email
I would prefer not to be contacted
All information you've given us today is stored securely online and we wont pass your information onto anybody apart from your team manager who legally needs a copy.
Parents Signature
*
Submit
Should be Empty: