Rachel Yankey Foundation Community Sessions

1
Please enter your Parent/Guardian's Name* This field is required.
First Name
Last Name
2
Please enter your Parent's Contact Number* This field is required.
Please enter a valid phone number.
3
Please enter your Parent's E-mail address* This field is required.So we can send confirmation of your registration
example@example.com
4
Please enter your Home Address* This field is required.If this is different to the child's home address, please enter the child's
Address Line 1
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Town
City
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Afghanistan
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Malawi
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Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
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Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
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Saint Vincent and the Grenadines
Samoa
San Marino
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Senegal
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eSwatini
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Syria
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Tanzania
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Togo
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Tonga
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Isle of Man
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Yemen
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Other
Country
5
Please enter the Player/Child's Name* This field is required.
First Name
Last Name
6
Please provide their Date of Birth* This field is required.
Day
Month
Year
7
Which community location would you like to attend* This field is required.
Silver Jubilee Park Stadium
Paddington Rec Ground
8
Silver Jubilee Park Stadium Sessions* This field is required.Please select which dates you would like to attend
Monday 19th January 4:30pm - 6:00pm @ Silver Jubilee Park Stadium
Monday 26th January 4:30pm - 6:00pm @ Silver Jubilee Park Stadium
Monday 2nd February 4:30pm - 6:00pm @ Silver Jubilee Park Stadium
Monday 9th February 4:30pm - 6:00pm @ Silver Jubilee Park Stadium
Monday 23rd February 4:30pm - 6:00pm @ Silver Jubilee Park Stadium
Monday 2nd March 4:30pm - 6:00pm @ Silver Jubilee Park Stadium
Monday 9th March 4:30pm - 6:00pm @ Silver Jubilee Park Stadium
Monday 16th March 4:30pm - 6:00pm @ Silver Jubilee Park Stadium
Monday 23rd March 4:30pm - 6:00pm @ Silver Jubilee Park Stadium
9
Paddington Rec Ground Sessions* This field is required.Please select which dates you would like to attend
Friday 23rd January 7:00pm - 8:30pm @ Paddington Rec Ground
Friday 30th January 7:00pm - 8:30pm @ Paddington Rec Ground
Friday 6th February 7:00pm - 8:30pm @ Paddington Rec Ground
Friday 13th February 7:00pm - 8:30pm @ Paddington Rec Ground
Friday 27th February 7:00pm - 8:30pm @ Paddington Rec Ground
Friday 6th March 7:00pm - 8:30pm @ Paddington Rec Ground
Friday 13th March 7:00pm - 8:30pm @ Paddington Rec Ground
Friday 20th March 7:00pm - 8:30pm @ Paddington Rec Ground
Friday 27th March 7:00pm - 8:30pm @ Paddington Rec Ground
10
Does your child have any medical conditions we need to be aware of?* This field is required.
Yes
No
11
Please give us more information about your child's medical condition* This field is required.
12
I understand that it is my responsibility to ensure that my child attends sessions with any medication they may need* This field is required.If your child does not attend with their medication, we reserve the right to refuse their participation in the session in the interests of their safety
I accept
13
Please provide us with the name of an Emergency Contact* This field is required.If there is an emergency and we can't reach you we know who to contact
First Name
Last Name
14
Please provide your Emergency Contact's phone number* This field is required.So we can give them a call if we can't reach you
Please enter a valid phone number.
15
Please provide your Emergency Contact's E-mail address* This field is required.
example@example.com
16
Who will collect your child from our sessions?* This field is required.Please let us know how your child will return safely back to you from our sessions!
I will (Parent/Carer)
Emergency Contact
My Child will walk home
17
I understand and acknowledge that once my child leaves the session unaccompanied, responsibility for their safety transfers to me and no longer remains with the Rachel Yankey Foundation* This field is required.
I accept
18
All sessions shall finish at the advertised end time. Coaches & Volunteers will remain on site for up to 15 minutes after the session ends to allow for safe collection of participants.* This field is required.After the 15-minute collection period, coaches and volunteers will leave the venue. It is your responsibility to ensure your child is collected within this period or has written permission to leave unaccompanied.
I understand and accept
19
As part of our sessions, we may wish to take photos or videos of the sessions and the players that are taking part. We may use these images or videos for our own promotional purposes and may also share with other media organisations for promotion and publication purposes. Please tick the box below to confirm that this is acceptable to you* This field is required.
I agree to images/videos being taken
I do not agree to images/videos being taken
20
Please review our Terms & Conditions here
21
We care about your privacy, safety and consumer rights in being part of the Foundation. Please agree that we may process your information in accordance with our Privacy Policy and that you fully accept our Terms and Conditions* This field is required.By clicking 'I accept' - you agree to be bound by our Session Terms & Conditions
I accept
22
Would you like us to keep your information and place you on our mailing list for any Foundation updates and invites to social and sporting events?* This field is required.
Yes
No
23
The Rachel Yankey Foundation is a charity and we would appreciate your support! A donation as small as £3.00 would go a long way to helping us achieve our mission!Would you like to make a donation?
Yes, please!
Not right now!
24
Your donation will help keep our community sessions running, provide the best equipment and make sure that we provide the best in coaching support. Thank you!Please select your donation amount below
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