Volunteer Registration - 2026/2027 Season - Brackley Town FC Player Development Centre

Volunteer Registration 2026/2027 Season

Password(*)

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Should you have any issues using this form please contact Mike on mike@brackleytownfc.co.uk. Please do not contact/email anyone else as this will be your quickest way to get an answer to your problem

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Please provide the details of Next of Kin who we can contact if required.

Next of Kin Contact Details.

Next of Kin Contact Name(*)

Please specify your name

Next of Kin Relationship(*)

Please specify relationship to child

Next of Kin Email(*)

Please specify your email address.

Next of Kin Landline Number(*)

Next of Kin Landline Number, number, no spaces

Next of Kin Mobile Number(*)

Please specify mobile phone number, no spaces

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Volunteers Personal Details

Volunteers Full Name(*)

Please input players name

Volunteers Date of birth(*)

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Volunteers Email(*)

Please specify email address.

Mobile Number(*)

Please specify mobile phone number, no spaces

Volunteers Landline Number(*)

Please specify land line phone number, no spaces

Road/Street(*)

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House Number/Name(*)

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City/Town(*)

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County(*)

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Post Code(*)

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Medical Details

Doctors Name(*)

Please specify your doctors name

Doctors Street Number/Name(*)

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Doctors Road/Street Name(*)

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Doctors City/Town Name(*)

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Doctors County Name(*)

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Doctors Post Code(*)

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Doctors Phone Number(*)

Please specify doctors land line number, no spaces

Is the player currently taking medication?(*)

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THIS INFORMATION WILL REMAIN CONFIDENTIAL AT ALL TIMES.

Are you suffering from any medical conditions that we should know about such as,allergies, medication, physical disabilities, epilepsy, asthma, autism, ADHD etc. It is imperative that you let us know of all medical conditions that you suffer from, please provide details of the conditions that you suffer from along with what medication you are taking, if none state 'None' you should also let us know of any conditions that develop after you have registered.

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Your AVailability

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Finally, to complete registration you must read and agree the following

Our Safegurading & Data Privacy Policies can be read HERE tick box below to confirm acceptance

I have read and accept Our Safeguarding and Data Protection & Privacy Policies(*)

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Once form is completed click on 'Confirm My Registration' below

You will receive an automated email confirming your registration for the 2026 -2027 season

Thank you for your support BTFC