Ambassadors Football at Helenslea

Ambassadors Football at Helenslea
Name of child

First NameLast Name
Child's Date of birth

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Medical and Additional Support Information
Does your child have any medical or behavioural needs which require support. If so, please give details including medication and/or coping mechanisms etc below.
Consent and Authorization
I give permission for my child to attend Helenslea Football. In the event of illness or accident, I give permission for any necessary medical treatment to be given by the nominated First-Aider. In an emergency I give permission for the Leader to seek medical treatment. I understand that Ambassadors Football are a Christian organisation and give permission for my child to attend, knowing that there will be a short talk about the Bible each week. I understand that all data will be kept in accordance with the General Data Protection Regulation.*
Name of Parent/Guardian

First NameLast Name
Contact Number
Format: (000) 000-0000.
Signature of Parent/Guardian
Should be Empty:

Medical and Additional Support Information