Friday Night Football Online Registration Portal

Child's Full Name?

Parents Full Name?

Players Age

4-5 Years
6-7 Years
7+ Years

Full Address?

Postcode?

Contact Number

Emergency Number?

Medical History?

Do You Allow JM Academy To Use Your Child In Any Photographic Meterial that may appear on social media?

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 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

I also recognize that the individual coaches reserve the right to dismiss any participant detrimental to the overall good of the club without refund?

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.

Parents Signature *

First

Last