SOSA Training Registration Form

SOSA Training Registration Form

Ste O’Brien Soccer Academy
Please complete this form to register your child for our SOSA training sessions. This helps us group players appropriately and understand their experience. All information is confidential.
Section 1: Player Information
Players Name

First NameLast Name
Date of Birth

DayMonthYear
Players Age Group -September 25
Preferred Foot
Primary Playing Position
Secondary Playing Position
How long has your child be playing football?
Current Club/Team
Previous Club/Team
Has your child trained at or been signed to a professional academy
If yes please list academy/academies, age groups and duration
Section 2: Parent/Guardian Information
Name

First NameLast Name
Relationship to Player
Phone Number

Area CodePhone Number
Email Address
example@example.com
Address

Street Address

Street Address Line 2

City

Post Code
Section 3: Emergency information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number

Area CodePhone Number
Does the player have any allergies, chronic illness, or medical conditions? If yes, please describe.
Is the player prescribed an inhaler? If yes, please explain any instructions.
a) I agree to my child taking part in the activities of the club.

b) I confirm to the best of my knowledge that my child does not suffer from any medical condition other than those listed above.

c) I understand that the Club or Organisers accept no responsibility for loss, damage or injury caused by or during attendance on any of the clubs organised activities except where such loss, damage or injury can be shown to result directly from the negligence of the Club or the Organisers.
Agree to Consent
Section 4: Photography & Media Consent
For the purpose of Use on social media platforms

I agree to my child’s image being used as above and understand that once the image goes onto a social media platform it is out of the control of the organisation as to where that image further appears, who has access to it or what it’s used for and by whom. I understand the risks associated with this including that a third party may identify my child without my consent or knowledge. Children will never be named by this organisation alongside their image on social media platforms
Agree to Consent
Should be Empty:

SOSA Training Registration Form

Please complete this form to register your child for our SOSA training sessions. This helps us group players appropriately and understand their experience. All information is confidential.

Section 1: Player Information

Section 2: Parent/Guardian Information

Section 3: Emergency information

Section 4: Photography & Media Consent