Player's name *

First Name

Last Name

Date of birth *

MM

DD

YYYY

Parent's details *

First Name

Last Name

Social media and photography consent *

From time to time the club may wish to take photos or videos of players for use on social media to promote the club, or by our partners. Any imagery taken will be used solely for promotional purposes. Please tick below to indicate your agreement for pictures to be taken for the above reasons.

Yes

No