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Schoolboy Registration

Combined

Blarney United

Registration Form

Season 2011 / 12

 

All players must be registered in accordance with current Blarney Utd, CSL, SFAI, MSL CWSSL and FAI Rules in compliance with FIFA Regulations on the status and transfer of players

 

SECTION A - PLAYER INFORMATION

Name of Club:
Club Sec First Name:
Club Sec Last Name:
Season:

 

Team:

Section of Club:

Players First Name:
Players Last Name:
Players Gender: Male Female
Players Street Address:
 
 
Town / City:
County:
Country:
Date of Birth: DD   MM    YYYY
Contact Email Address:
Contact Mobile Number:
Last Club Registered with:
School:
Any other relevant info:

 

SECTION B - PARENT / GUARDIAN INFORMATION (for underage players)

Name of Parent / Guardian #1:
Mobile Number of Parent / Guardian #1:
Home Number of Parent / Guardian #1:
Email Address of Parent / Guardian #1:

 

Name of Parent / Guardian #2:
Mobile Number of Parent / Guardian #2:
Home Number of Parent / Guardian #2:
Email Address of Parent / Guardian #2:
   

 

SECTION C – ADDITIONAL INFORMATION

In Blarney United we both encourage and appreciate parental involvement in club activities. If you are interested in helping our kids then please tick the appropriate box(es) below…

Team

Coaching

Team

Management

Club

Admin

Transport

Fundraising

Event

Activities

Other

Please note that by being a member of Blarney United it is assumed that…

·        The club has permission to bring your child to a hospital or doctor in case of emergency.

·        You give permission for your child to receive medical treatment either by way of first aid or by way of a qualified person or by a Doctor at the hospital or at a suitable location.

·        You agree that you / your child may be photographed for use on the club’s website or similar promotional purposes (E.G. press, newsletters, etc). Obviously, only “appropriate” photos (in keeping with the FAI’s Child Welfare policies) will be used.

   
 

 

 

 

 

 

 

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