Join Lancot Football Club

Lancot Football Club Joining Form 2019/2020

Childs Name:

Date of Birth:

Age

School year after Sept 2019:

Childs home address:

Town:

Postcode:

Can your child's photo be taken and used by Lancot Football Club for club purposes including website, social media and tournament programs?

Yes

Parent/Carer (primary emergency contact):

Relationship (Mother/Father etc):

Parent/carer address(if different from child):

Mobile:

Phone:

Email:

Secondary Contact:

Mobile:

Phone:

Email:

Players medical information. Please list any medical conditions and/or medication that your child is taking:

Will any of the medication need to be left with your child or coach?

Yes

Please list any allergies you child may have:

My child and I agree to abide by the FA Respect code of conduct.

Both myself and my child/children and any guests will abide by the FA Respect Code of Conduct at all times when representing Lancot Football club at home or away. Details of the code can be found at www.TheFA.com/Respect or on our About Us page. I understand that if I do not follow the code of conduct action may be taken against me or my child/children in line with the code.

Terms & Conditions

By ticking the box, I agree to share my data with Lancot football club and members of the comittee and coaching staff.