Future Leaders Football Club Players Registration & Consent Form (Bressington Park & Mason Park)

Future Leaders Football Club Youth Training Registration and Consent Form

2023/24 Season
Dear Parent / Guardian & Player,

Welcome to youth Football Training programme at Future Leaders Football Club. For some, this will be your first experience of our club, and we warmly welcome you.

Please ensure you complete and read all sections, anything added to this form will be held in confidence. The club and our coaches need to know these details in order to meet the specific needs of your child.

Thank you
- 2022/23 Group (please select)*
- Training Field*
- Players Name*
  
  First NameLast Name
- Address*
  
  Street Address
  
  Street Address Line 2
  
  SuburbState
  
  Postcode
- Date of Birth*
  
  DayMonthYear
  Date
- Age*
- Previous Club Registered
  if you were registered with Future Leaders FC last season please leave blank
- Parent / Guardian Name*
  
  First NameLast Name
- Relationship to the child*
  father, mother, guardian etc.
- Address (if different to the Players)
  
  Street Address
  
  Street Address Line 2
  
  SuburbState
  
  Postcode
- Email*
  example@example.com
- Phone Number*
  
  Area CodePhone Number
- Alternative phone Number
  
  Area CodePhone Number
- I have read, understood, and hereby agree to abide by the above players code of conduct. I will also ensure my child will read and abide by the code.*
  
  YesNo
- I have read, understood, and hereby agree to abide by the above Parents code of conduct.*
  
  YesNo
- Payment of Player Fines: Please pay particular attention to this point, so as to save any confusion at a later date. Parents/Guardians will be responsible for payment to the club of any fines or administration costs incurred by their son/daughter whilst playing junior or youth football for Future Leaders FC. These will normally be through a sending off or caution.
  
  Transport: I acknowledge that any arrangement to transport my child to or from Club games or activities is my responsibility. Determining the insurance or roadworthiness of vehicles or drivers is not the responsibility of Future Leaders FC or its officials.
  
  Photography: I agree to photographs/videos of my son/daughter being taken by Future Leaders FC for football purposes.
  
  Kit & Eqiptment: All Kit and equiptment provided by Future Leaders FC remain the property of Future Leaders FC and must be returned to the football club immediately upon request or as and when a player leaves the Club.
- I have read, understood, and hereby agree to abide by the above Club policy.*
  
  YesNo
- Player Registration is not complete until this form has been Signned and Submitted. Once your form is received, we will send you a confirmation email with our bank account to collect the fee. I hearby confirm all information provided in this Player Registration & Consent form to be accurate to the best of my knowledge
- Name
  
  First NameLast Name
- Signature
  
  Clear
- Date
  
  DayMonthYear
  Date
- My Products
  prevnext( X )
  
  10 Weeks Program$700.00AUD
  2 trainings per week. Tuesday 6-7:30 PM & Sunday 10-11:30 AM
  
  Jersey Package$150.00AUD
  2x training suit 2x soccer socks 1x Club jersey 1x raincoat 1x backpack We can take NSW Back To School Voucher
  
  Total $0.00AUD
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  The payment is ready! It will be completed once you submit the form.
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Future Leaders Football Club Youth Training Registration and Consent Form