U14s Registration Form 2019/20 Season

Players Full Name?

Parents Facebook Name?

Players Age?

Child's Gender?

Male
Female

Full Address?

Postcode?

contact number

emergency contact number

Year Group?

2006
2007
2008

Medical History

Do You Allow JM Academy To Use Your Child In Any Photographic Meterial?

Yes
No

By signing this application form, i am acknowledging on behalf of myself, the organization and the “players” that use of the JM Academy facilities and the sport that my son/daughter will be participating with could cause a risk of injury. I also recognize that the individual coaches reserve the right to dismiss any participant detrimental to the overall good of the camp without refund. I give permission for the staff of JM Academy to authorize necessary emergency medical treatment for my child in the event that I am not available to give such consent?

Yes
No

Data Protection - JM Academy have a legal obligation to ensure that your data is safe, with us your privacy matters. We would ask that you tick the boxes below in which you would like to be contacted.

I consent to JM Academy contacting me by post, phone or email.
To store my own and my child's details securely as a registered member of JM Academy
To keep me informed about news involving the club including events, training and any activities.

Signature?