Player and Parent Agreement Sumbit sign up Player/Parent Sign Up 2024-2025 Player / Parent * Please tick to give electronic signature that you have read the PLAYER and PARENT AGREEMENT Player Parent 24/25 Team * U11 Boys U12 Boys U12 Girls U14 Boys Conference U14 Boys Premier U14 Girls U16 Boys U16 Girls U18 Boys U18 Girls Player First Name * First Name Last Name Player Surname * First Name Last Name Medical Educational * Medical Conditions / Educational Needs (by completing you have given consent for us to hold this information under special category data) DOB * Player Day of Birth 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 MOB * Player Month of Birth 01 02 03 04 05 06 07 08 09 10 11 12 YOB * Player Year of Birth 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Player School Year Yr 5 Yr 6 Yr 7 Yr 8 Yr 9 Yr 10 Yr 11 Yr 12 Yr 13 School Player Mobile (###) ### #### Player Email Parent/Guardian Phone * Primary Contact Number (###) ### #### Parent/Guardian Email * Parent/Guardian 1 * Parent/Guardian first name (and surname if different from players surname) First Name Last Name Parent/Guardian 2 Parent/Guardian first name (and surname if different from players surname) First Name Last Name Thank you!
