Signing on Form

Please Fill out the Club Registration form:

Section A: PLAYERS FULL NAME *
I (named above) wish to sign for Sturminster Marshall Youth Football Club. I have read and understand the rules and codes of conduct. I Agree to abide by all club rules and codes of conduct.I understand that the signing on fee is non refundable and I declare that I have not signed for any other DORSET TEAM for the 2013/2014 Season.
Player Agreement *
Please Agree to above statement

Players Date of Birth *
(HINT) Click on text box to open up calender, then click on year for a quicker change.
Team Age group
For 2013/2014 Season
Medical Details : Please indicate if your son/daughter has any medical conditions that we should be aware of, eg; Asthma, Allergic to plasters or latex gloves. *
IF NONE please state NONE.
In the Event that the Parent/Carer cannot be reached, Please give two other emergency contacts. *
1st Emergency Contact
Emergency contact Continued.
2nd Emergency Contact
Parental Consent *
In the event that my Son/Daughter is injured whilst playing football or traveling to and from football events and I cannot be contacted on the above phone numbers,I hereby give my consent for my child to receive medical attention.
S.M.Y.F.C Web Site: www.smyfc.co.uk *
I give my consent to allow my Son/Daughter inclusion e.g use of abbreviated name in match reports and picture in team photos on the club website
Parent/Carer Rules and Regulation Consent *
I agree to be bound by, and observe the club rules, the rules and regulations of the Football Association Ltd, the County Football Association and all competitions in which the club partakes.
Printed Name of person completing this form *
Date Form Completed *
Please click submit when form is complete