COVENTRY PHOENIX CONSENT FORM

COVENTRY PHOENIX CONSENT FORM
PLAYER
Name

First NameLast Name
Team
Date Of Birth

MonthDayYear
Date
School Year
(Please supply us with details of any medical conditions, including allergies)
Medical Information (Please supply us with details of any medical conditions, including allergies)
Address

Street Address

Street Address Line 2

CityCounty

Postcode
Emergency Contact Number
PARENT / GUARDIAN
Name

First NameLast Name
Email
example@example.com
Date Of Birth

MonthDayYear
Date
Mobile Telephone Number
Player Release from Training / Games Players of Primary School age will NOT be permitted to leave on their own (even if the person collecting is waiting in the club/ ground car park) and MUST be collected in person by a Parent, Guardian or another nominated person, confirmed with their team

If your child is of secondary school age and you DO NOT want them to be allowed to leave training/ games without being collected in person, please E-Mail Coventryphoenixyouth@outlook.com (Club Secretary) and speak to your child's team manager otherwise your child is free to leave.
Signature
Should be Empty:

PLAYER