Yaxham Fc Girls Football

YAXHAM FC GIRLS FOOTBALL

INFO & REGISTRATION FORM

YAXHAM FC

STARTS 20th April

(Apr-May 2026)

4 Weeks

For girls from the age of 5 to 14 years.

What do the session offer?

This football centres offers girls aged 5-14 a chance to try football for the first time and provide regular opportunities to play.

All sessions are delivered by FA qualified coaches providing a safe place for girls to try football for the first time and develop key football skills.

How much are the sessions?

There is a small cost to cover the coaches, equipment and venue hire. Every effort is always made to make the sessions as affordable as possible.

How will my daughter be looked after during the session?

All sessions are delivered by FA qualified coaches providing a safe place for girls to try football for the first time and develop key football skills.

What should my daughter wear?

We recommend that girls wear comfortable sportswear and closed-toe shoes but most centres will let you wear anything you want. If she’s a budding goalkeeper, we recommend packing her a pair of gloves.

Does my daughter need to bring anything?

We provide all the equipment for the activities, so no need to send your daughter with anything other than a drink, lots of energy and a smile!

Can I come along to watch during the session?

Yes, absolutely. Parents, carers and siblings are also encouraged to stay, watch and get involved!

LOCATION
Yaxham Village Hall
Norwich Road
Yaxham
NR19 1RJ

DAY & TIME
Mondays 5 to 6pm

DATES

Apr/May 2026 (4 weeks)

If you need any further information please feel free to contact us:motive8sports1@hotmail.com

Child's Name*

First NameLast Name
Child's DOB*

DayMonthYear
Date
Reception (age 4-5yrs)Year 1 (age 5-6yrs)Year 2 (age 6-7yrs)Year 3 (age 7-8yrs)Year 4 (age 8-9yrs)Year 5 (age 9-10yrs)Year 6 (age 10-11yrs)Year 7 (age 11-12yrs)Year 8 (age 12-13yrs)Year 9 (age 13-14yrs)Year 10 (age 14-15yrs)
Child's DOB*

DayMonthYear
Date
Youth (age 5-11yrs)Academy (age 12-14yrs)
Parent/Guardian Information...
Name*

First NameLast Name
Address*

House Name or Number

Street Address

CityState / Province

Post Code
Phone Number*
Preferably a mobile number please.
Email*
We use a WhatsApp group for Parents in case we have to cancel a session at short notice and for when we are able to take bookings. Please indicate below if you wish to be added to this group.*
Emergency & Medical Information...
Please provide information relating to any allergies, chronic illness, or medical conditions that your child may have that we need to be made aware of. If your child is prescribed an inhaler please explain any instructions...*
If the emergency contact for your child differs from the parent/guardian information above, please provide them here...
I consentI do NOT consent
Payment

In order to secure your place for the April/May term (4 weeks) please make a bank transfer for £18.99 to account name: Karl Damerell Sort Code: 04 00 05 Account Number: 48647750. PLEASE ENSURE YOU QUOTE THE CHILD'S NAME AS THE PAYMENT REFERENCE NUMBER. Your place will not be confirmed until the payment has been made.
I have made payment
Informed Consent and Acknowledgement

I hereby give my approval for my child's participation in this coaching course.

My child will wear appropriate clothing and other protection such as a hat or sunscreen to suit the weather conditions.

I have completed the medical details above and consent that in an emergency any medical treatment necessary can be administered to my child, which would include anaesthetics.

I understand that while the coach(s) will take every reasonable precaution to ensure that accidents do not happen, they cannot be held responsible for any injury suffered to my child.

We can't accept liability for loss or damage to property.

A full refund will be given if you wish to cancel your booking up until 7 days before the event commences.

Photos/videos may be taken occasionally and used to promote the group.

Please advise us if you don't wish for your child to be in any photos/videos.

By signing this form I give permission to store my child's and my confidential information and share with Yaxham Football Club.
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YAXHAM FC GIRLS FOOTBALL

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