FC RANGERS JUNIOR FOOTBALL CLUB
Player Registration Form
Date
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Today's Date
Team
Please Select
Mini Foxes
Under 7s
Under 8s
Under 8 Blues
Under 9s
Under 10 Blues
Under 10 Blacks
Under 11 Vixen Storm
Under 11 Vixen Volcanoes
Under 11s
Under 11 Blues
Under 11 Blacks
Under 12s
Under 12 Blues
Under 13 Vixen Ices
Under 13s
Under 13 Blacks
Under 14s
Under 15s
Under 16 Blues
Under 16 Vixen Tornadoes
Under 16s
Under 17s
Under 18s
Open Age
Select the team you are applying for. Leave blank if unsure.
Player Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Player's Date of Birth
Age
*
Age of Player
Nationality
Player's Nationality
Player's Phone Number (18+)
*
Please enter a valid phone number.
Format: 00000000000.
Player's Email Address (18+)
*
example@example.com
Players School/College
*
School Year
*
Please Select
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12/College/Apprenticeship
Year 13/ College/Apprenticeship
Other
If your child has just finished for summer holidays - please tell us what year they will be in from September this year.
Player's Address
*
Street Address
Street Address Line 2
City
County
Postal Code
Medical Conditions/Allergies/Disabilities
*
You must specify any medical conditions/ allergies/ and disabilities. We need this in case there is an emergency, and we need to pass on medical history to a paramedic/ first aider. If none, please type 'None'.
Medications (Inc. inhalers, Adrenaline Pens- EPIPEN)
*
Please list all medications. In case of emergency, paramedics may need this info in order to apply any treatment. If your child requires any inhalers, Adrenaline pens etc, please ensure these are handed to the team first aider at training and matches and collected afterwards. If none, please type 'None'.
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Parent/Guardian/Carer Name
*
First Name
Last Name
Relationship to Player
*
E.G. Parent/Grandparent/Carer
Date of Birth
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Parent/Guardian/Carer Date of Birth
Parent/Guardian/Carer Email
*
example@example.com
Parent/Guardian/Carer Phone Number
*
Please enter a valid phone number. Must be available in case of emergency.
Format: 00000000000.
Parent/Guardian/Carer Address
*
Street Address
Street Address Line 2
City
County
Postal Code
Parent/Guardian/Carer 2
First Name
Last Name
Parent/Guardian/Carer Phone Number
*
Please enter a valid phone number.
Format: 00000000000.
Parent/Guardian/Carer Date of Birth
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date of Birth
Parent/Guardian/Carer Email
*
example@example.com
Do You Have Other Children Already at FC Rangers JFC?
If yes- state their full name(s).
Is there any further information we need to know?
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FC Rangers JFC Policies
Please read all of the policies below thoroughly. You will be asked to agree to these on the next page.
CLUB GUIDELINES
CODE OF CONDUCT FOR PLAYERS
CODE OF CONDUCT FOR PARENTS
CLUB WHISTLEBLOWING POLICY
SAFEGUARDING CHILDREN POLICY
ANTI-BULLYING POLICY
ANTI-DISCRIMINATION POLICY
CLUB CONSTITUTION
DISCIPLINE PROCEDURES
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I agree for FC Rangers JFC to use pictures or videos on our official sites/social media
*
Yes
No
I agree that all parents/guardians/carers and the player have read through and fully agree to abide by all FC Rangers JFC Policies
*
Yes
No
Signature
*
By signing- you are aggreeing to abide by all club policies.
Submit
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