Big Bear Football Coaching Form

You will need to fill out one form per child. If you wish to continue with weekly session for coaching please tick the box indicated and we will send a additional form via email.

Child Name*

First NameLast Name

Birth Date*

DayMonthYear

Gender*

Areas I wish to improve in:

My child will attend.*

Cornwallis Academy Saturday morning session (08:30am to 09:30am)

Parent/Guardian Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

Town

Postal Code

E-mail*

Mobile Number*

Doctors Surgery

Name

Phone Number

Area CodePhone Number

Medical Concerns

I would like my Child to continue with future sessions*

YesNoTo be confirmed

Payments are made in advance and subject to a 24 hour cancellation policy whereby if you cancel after this point payment is still required.

Account details as follows:
Sort code: 04:00:03
Account details: 15674880
Big Bear Coaching (L Wenham)

Each session is charged at a rate of £6.00 per child, per session.

We will from time to time take photos and share on our website and social media platforms.
By submitting this form you agree to:
I give permission for me/my child's photograph to be used within printed marketing materials.

I give permission for me/my child's photograph to be used on the club’s website.

I give permission for me/my child's photograph to be used on the club’s social media pages.

I give permission for drone footage of me/my child's to be used on the club’s website.

I give permission for drone footage of me/my child's to be used on the club’s social media pages.

I confirm that I have read, or been made aware of, how these images or videos will be stored within the organisation.

By submitting the form, I, as the parent/guardian of the registrant, I hereby give consent for emergency medical care prescribed by a duly licensed Doctor of Medicine or Doctor of Dentistry. This care may given under whatever conditions are necessary to preserve the life, limb, or well-being of registrant.

By submitting the form, I, the parent/guardian of the registrant, a minor, agree that I and the registrant will abide by the rules of the BBFC, its affiliated organisations and sponsors. Recognizing the possibility of physical injury associated with football and in consideration for the BBFC, accepting the registrant for its football programs and activities (the "Programs"). I hereby release, discharge and/or otherwise indemnify the BBFC, its affiliated organisation and sponsors, their employees and associated personnel, including the owners of fields and facilities utilised for the programs, against any claimby or on behalf of the registrant as a result of the registrant's participation in the programs and/or being transported to or from the same, which transportation I hereby authorise.

Big Bear Football Coaching Form

CHILD INFORMATION:

PARENT/GUARDIAN INFORMATION:

MEDICAL INFORMATION