Saturday Soccer Schools - Registration

Registration for BTFC Saturday Soccer Schools - 4 to 6 year olds

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

Private & Confidential
Personal Details
Please input players name
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Please specify your email address.
Contact Details

Please provide the details of two people who we can contact if required, one of which must be a parent/guardian.

Primary Contact

Please specify your name
Please specify relationship to child
Please specify land line phone number, no spaces
Please specify mobile phone number, no spaces
Please specify email address.

Other Contact

Please specify your name
Please specify your relationship to child
Please specify land line phone number, no spaces
Please specify mobile phone number, no spaces
Please specify email address.
Medical Details
Please specify your doctors name
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Please specify doctors land line number, no spaces
Invalid Input

If yes, please provide details of the condition for which the player is taking medication, if none state 'None'

Invalid Input
Invalid Input

If yes, please provide details, if none please state 'None'

Invalid Input
Invalid Input

If yes, please provide details, if none please stae 'None'

Invalid Input
Disclosure

• Player - I agree to abide by the Rules and Codes of Conduct of Brackley Town Football Club, the league, and the FA

Invalid Input

• Parent/Guardian - I agree to abide by the Rules and Codes of Conduct of Brackley Town Football Club, the league, and the FA

Invalid Input

• Parent/Guardian - I give my permission for any appropriate medical treatment to be carried out

Invalid Input

• Parent/Guardian - I agee that photos or video may be taken whilst the above named player is taking part in any club or league organised activity

Invalid Input

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

Invalid Input

You will be added to our mailing list

 

BTFC Newsletters keep you updated on what’s new at Brackley Town FC including:

Latest team news - Football in the community news - Saints Community project news - And more

These Newsletters will normally arrive in your inbox at most once a month unless we have some urgent news that we think you might be interested in. There is an unsubscribe link on all newsletters, so you can unsubscribe at any time

 

Items marked with an * are required.

Once form completed click on 'Submit my registration' below.

You will receive an automated email confirming your registration

Thank you for your support BTFC Player Development Centre

Invalid Input