Player Registration
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Player Registration
Step
1
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5
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Player Details
Existing Member
(Required)
Yes
No
Child's Full Name
(Required)
First
Child's Date of Birth
(Required)
DD slash MM slash YYYY
School Attending
(Required)
As of September 2024
School Year
(Required)
As of September 2024
Siblings
Please list any siblings also registering. Please submit registration forms for each sibling to ensure that all needed details are recorded.
Address
(Required)
Street Address
Address Line 2
City
Postcode
Parent Details
1st Parent's Full Name
(Required)
First
1st Parent's Email
(Required)
1st Parent's Home Phone
(Required)
1st Parent's Mobile Phone
(Required)
2nd Parent's Full Name
First
2nd Parent's Email
2nd Parent's Home Phone
2nd Parent's Mobile Phone
Child's Medical Conditions
Please indicate if your child has any medical conditions we should be aware of (e.g. asthma, allergies or diabetes)
Emergency Details
In the event of an emergency and the above named parent cannot be contacted please give two extra contact names and numbers:
Emergency Contact 1 Full Name
(Required)
First
Emergency Contact 1 Phone Number
(Required)
Emergency Contact 2 Full Name
(Required)
First
Emergency Contact 2 Phone Number
(Required)
Consent
Parental Consent
(Required)
In the event that my son or daughter is injured while playing football/or traveling to and from football events and I cannot be contacted on the above numbers, by checking this box and submitting this registration form I hereby give consent for my child to receive medical attention.
Permission to Use Images of Players for Club Promotion
By checking the "Permission to use images" option and submitting this registration form I give my full permission for images and video footage of my child to be used for promotional purposes of Ripley Rockets Junior Football Club.
Communication
Methods of Communication
(Required)
Email
Text
Email & Text
Please select a box to indicate whether or not you are happy for us to communicate via text if necessary.
Codes of Conduct
(Required)
By checking this box and submitting this registration form we confirm that we have read, retained and agree to abide by the Codes of Conduct for Players, Parents and Spectators.
Sign & Submit
By entering my full name and the date submitted below, I indicate my acceptance of the above conditions of membership of Ripley Rockets Junior Football Club. Ripley Rockets Junior Football Club is affiliated to the West Riding County Football Association.
Electronic Signature
(Required)
Date Signed
(Required)
DD slash MM slash YYYY
Football Kit
(Required)
We understand that the kit supplied by Ripley Rockets Junior Football Club remains the property of Ripley Rockets Junior Football Club and must be returned at the end of every season if we leave the football club. We also understand that we are responsible for maintaining and cleaning all kit whilst it is in our possession and that lost kit must be paid for. Kit comprises shorts, match shirt and training top.
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