Maidstone United Player Pack for 2024/25 season

Membership, Information and Consent Form
Team*
Name of Player*

First NameLast Name
Address*

Street Address

Street Address Line 2

TownCounty

Post Code
Player's date of birth*

DayMonthYear
Date
Gender

MaleFemale
Name of parent/guardian*

First NameLast Name
Home phone number

Area CodePhone Number
Parent or guardian mobile phone number (nominated emergency contact)*

First five digits (07***)Last six digits
Contact email address*
example@example.com
Child's school*
Please select from schools in Maidstone
School not in Maidstone?
Please enter the school name above
If the child is not living with parents, please clarify the legal status of the child and his/her current carer’s.

It is important that you fill in the rest of this form as fully as possible. Failure to tell us things could mean that the safety and welfare of your child is compromised. The club cannot be held responsible if information has not been shared.

Medical questionnaire
Does the player have any known health needs that his/her team management should be aware of? For example: diabetes, asthma, epilepsy, allergies, autism, deaf etc*

YesNo
If you've answered yes, please complete the section below:
Allergy/Condition
Medication
Please list any medication taken for above condition
Dose and frequency
Please detail dose of medication and frequency
What does the club need to do to help keep the player well?
For example: administer planned medication/call ambulance/give snacks? Please be very specific
Do club members need any medical training other then First Aid to care for the player?
If yes, please specify
Does the player have any access needs?
If yes, please tell us what we need to do to help him/her.
Does the player have any access needs?
If yes, please tell us what we need to do to help him/her.
Does the player have any communication needs?
Foe example: non-English speaker/hearing impairment/sign language user/dyslexia. If yes, please tell us what we need to do to enable him/her communicate with us.
Does the player have any known Disabilities/Special Educational Needs?*

YesNo
If you clicked yes, please tick below

Learning disabilitySight impairmentHearing impairmentCerebral PalsyOther

Religion and culture
Does the player participate in religion or spiritual practice?
Please tell us what it is
What do we need to know to ensure the player’s preferences/needs are met?
For example: are there any dietary guideline/dress codes we need to follow or support

FA Respect Codes of Conduct
Creating the right environments for our players, both on and off the pitch is so important.

The Respect codes of conduct are in place to ensure that everyone involved within an FA Charter Standard club or league is playing their part to give the players a positive experience.
- FA Respect Code of Conduct: spectators and parents
- FA Respect Code of Conduct: young players (boys and girls up to and inc. U16s)
- FA Respect Code of Conduct: men's (U23s/U18s)
- FA Respect Code of Conduct: women's (First Team/Dev)
FA Respect Code of Conduct: spectators and parents*

Downloaded, read and understood
FA Respect Code of Conduct: young players (boys and girls up to and inc. U16s)*

Downloaded, read and understoodNot applicable (if playing for Women's/Women's Dev/U23s/U18s)
FA Respect Code of Conduct: men's (U23s/U18s)*

Downloaded, read and understoodNot applicable (if playing for Women's/Women's Dev/Youth)
FA Respect Code of Conduct: women's (First Team/Dev)*

Downloaded, read and understoodNot applicable (if playing for U23s/U18s/Youth)

Media consent
Filming/photography

At times, the club may wish to take photos or videos of the team or individuals in it.

We adhere to the FA Guidelines to make sure these are safe and respectful and used solely for the purposes they are intended for, which is promotion and celebration of the activities of the club and training purposes.

If you have any additional information which you wish to share with the club, please contact the Club Welfare Officer, details of which are on the website.
Please indicate if you give media consent*

YesNo

Social media
Guidance for social media use

In today’s world, safeguarding children and young people applies as much online as it does face-to-face.

The FA, as the game’s governing body, offers guidance to support everyone who participates in football, whatever their role.
- Please take the time to access the documents on the Kent FA's website.
If you require any additional information, please contact the Club Welfare Officer, details of which are on the website.
Kent FA guidance for social media use*

Downloaded, read and understood

Travel to and from matches/training
Arrangements will be made to collect and return children to specific pick up points.

The club’s responsibility stops and starts at these points.

It is your responsibility to arrange safe travel to and from the pick up points.

If you are ever delayed in collecting your child please make every effort to contact the club contact or the escorting helpers so we can discuss arrangements for your child.
I have read and understand the travel arrangements*

Yes

Activities and remote supervision
Non-Football Activities

There may be occasions when your child is involved in planned and structured non-football activities.

The club will have collected appropriate information in preparation for the activity (e.g. about the journey, various needs and helper skills), identified any potential risks or dangers and made sure we know who is responsible for putting precautions into place (e.g. who will carry the first aid kit). This process is called a risk assessment

Remote Supervision

There may be occasions when the player is involved in planned and structured unsupervised non-football activities (e.g shopping trips whilst on tour) players will only be permitted to participate in these activities if they are considered appropriate to do so.

You will be informed prior to the event if any form of remote supervision will take.
I have read and understand the activities and remote supervision section*

Yes

Club communications
From time to time, Maidstone United FC may wish to let you know about activities and/or fund raising ideas to generate income for the club and/or Youth & Community section.

Please note that the club do not and will not provide your personal contact information detailed above to any other organisation, in accordance with GDPR regulations.
Please indicate below if you do NOT wish to receive any marketing information*

Yes, I do wish to receive marketing information from the clubNo, I do not wish to receive marketing information from the club

Have you got time to help?
Maidstone United Youth is run by a team of volunteers. As the old saying goes: many hands make light work. Can you spare some time to help out?

Whether it's an on-going commitment or for a specific project, such as an end of season presentation event or a summer tournament, please let us know.
I/we could help

a couple of hours a weeka couple of hours a monthorganise the end of season presentationorganise and run a summer tournament
To make the best use of your time, what skills can you bring to the club?
e.g. admin, event management, fundraising etc,

Legal consent
Consent of Legal Guardian

I give consent for my son/daughter to participate in Maidstone United Football Club’s events and agree to the conditions outlined above.

For the purposes of the Data Protection Act 2018 and the General Data Protection Regulation (GDPR) I acknowledge that Maidstone United Football Club will be collecting, sharing and otherwise processing Personal Data, which may include Special Categories of Personal Data (both as defined in the GDPR) about me including such data as set out in this form for the purpose of discharging its administrative functions.

Contact data will be held by individual team management and authorised club officials.

Should any of this information change, it is your responsibility to notify your team manager.
Signature of Legal Guardian*

Clear
Print name*

First NameLast Name
Date submitted*

DayMonthYear
Date
Section A: Player Consent

I agree to participate in the club’s events as detailed above and agree to adhere to the guidelines and/or codes of conduct that may be issued, in the interests of my own safety (see website).
Signature of player*

Clear
Name*

First NameLast Name
Date*

DayMonthYear
Date
Section B: Parent/Legal Guardian Consent (if under 18 years old)

I agree for the player above to participate in the club’s events as detailed above and agree to adhere to the guidelines and/or codes of conduct that may be issued, in the interests of the player's safety (see website).
Signature of parent/guardian*

Clear
Name*

First NameLast Name
Date*

DayMonthYear
Date

Submit your membership form
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