Sala Time FC Registration Form

Medical Information *

	Yes	No	Details/Instructions
Recent Injuries
Asthma
Abnormal Blood Pressure
Respiratory Problems
Epilepsy
Diabetic
Allergies
Other pre-existing medical conditions

I hereby authorise for medical assistance to be obtained for my child if required in the event of an accident, illness or injury *

Yes No
I hereby grant permission to Sala Time FC representatives, to take and use photographs and/or digital images of me or my child for use in: 1. Media releases, media articles – including newspapers, radio, television – printed publications and/or educational materials relevant to Sala Time Fc. 2. Electronic publications and communications such as the Sala Time Facebook & Instagram pages and website. 3. I authorise the use of these images without compensation to me. All negatives, prints, digital reproductions shall be the property of Sala Time Fc. *

Yes No
Should be Empty:

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Sala Time FC Player Registration