Player Registration

Registration Application

First Name:

Surname:

Date of Birth:

Player's FAN Number:

Player registrations will not be processed without a valid FAN number for both the Player and Parent / Guardian. If the player does not have a valid FAN Number, please register for one here: secure.thefa.com

Address:

Town:

Postcode:

Player Photo (JPG):

Player registrations will not be processed without a portrait-shaped JPG file showing head and shoulders

Birth Certificate or Passport (JPG):

Player registrations will not be processed without a photo of either the birth certificate or passport JPG file

Medical Details:

Previous Clubs:

Parent / Guardian Details

Title:

Forename:

Surname:

FAN Number:

Player registrations will not be processed without a valid FAN number for the Parent / Guardian. If you do not have a FAN Number, please register for one here: secure.thefa.com

Date of Birth:

Relationship To Player:

Email Address:

Telephone Number:

Mobile Number:

Alternative Emergency Contact

Forename:

Surname:

Mobile:

Agreement With Our Terms

I understand that in the event of any injury or illness, all reasonable steps will be taken to contact me, and I give permission for the club and/or any medical authorities present, to administer any appropriate or necessary medical attention:

I consent to the club using appropriate images and photos/video of my child for purposes relating to the promotion and marketing of the club and its activities.

I confirm I have read and understood communications regarding the activities being offered to my child, By agreeing, I confirm my child is also healthy and able to take part in training/matches.

By submitting this form we acknowledge that we have received, read and signed a copy of the club’s codes of conduct. We agree to abide by them and understand that any breaches of the club’s rules and policies will be dealt with in accordance with the club’s disciplinary procedures that are in force at that time.

Need Quick Help?

Give us a call or drop by anytime, we endeavour to answer all enquiries within 24 hours on business days.

We are open from 8am — 5pm week days.

Email

info@lionscityfootballclub.co.uk

Phone

07949 533 199

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Player Registration

Registration Application

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Lions City Football Club

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