REGISTRATION for 5/6S 7S AGE GROUPS PLAYER 2017

SORRENTO FOOTBALL CLUB

REGISTRATION FOR 5/6s 7s AGE GROUPS PLAYER 2017

Parents to complete IN BLOCK LETTERS both sides of this form.

Separate Form to be completed for each player.

SECTION 1. - PLAYER DETAILSPlaying in Team:______

First NameSurnameDate of Birth

______

Address:______

Suburb:______Postcode:______

Home Tele:______Work Tele:______Mobile:______

E-mail: Please Print IN BLOCK LETTERS

Other siblings in club: YES/NO. (Juniors/Seniors)

Your Child played for which club during 2016? ______Team?______

Are there MEDICAL conditions regarding your child that this Club should be aware of?

ie Asthma, Allergies?

______

______

SECTION 2. – PARENTS/GUARDIAN DETAILS

Mother’s First Name:______Mother’s Surname:______

Father’s First Name:______Father’s Surname:______

Mother’s Occupation:______

Father’s Occupation:______

Are you a club sponsor or associated with a club sponsor? YES/NO

If YES, please print the name of the sponsor.______

I/We are interested in becoming a sponsor.YES/NO

Please Turn Over

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WAIVER AND INDEMNITY

“Club” means the Sorrento Football Club Incorporated and its office bearers, officials, coaches, managers, volunteers, referees, members and agents.

I am aware that playing sport, observing sport, learning, practicing and training to play sport and participating in any activity carried out by the club, are activities that inherently involve risk, and that in undertaking these activities my child/ren and I do so at our own risk. I am also aware that as a condition of my admission to membership of the club, its office bearers, officials, coaches, managers, referees, members and/or agents are absolved from all liability arising from injury, damage or loss of property howsoever caused. That injury, damage or loss of property may arise out of membership, playing sport, observing sport, learning, practicing and training to play sport and participating in any activity, or negligence of any nature whatsoever on the part of the club.

I understand and agree with the conditions, requirements and expectations of the club’s constitution, liquor license, policies and code of conducts, such as, but not limited to, Code of Conducts for Parents, Coaches and Players and Policies for Child Protection, Complaints, Sport Safe and Smoke Free.

I authorise the Club to arrange medical or hospital treatment (including without limitation ambulance transportation) if I am not available to do so and I indemnify the Club from all associated costs.

I understand and agree that nothing in this agreement purports to exclude any liability that may be owed by the club and their representatives pursuant to the provisions to any relevant Statutory Act/s covering these activities. To the extent that any part of this agreement may contravene any of the Statutory Act/s I agree that part of this agreement may be severed and rendered void, but the rest of this agreement will remain valid and continue to have effect.

Signature:______Date:______

(Parent/Guardian/Member)

SECTION 3. – FEE FOR 5s TO 7s PLAYER - $230.

(EFTPOS or cash or cheque or direct debit). (Please make all cheques payable to Sorrento FC)

Office use:

TOTAL:______EFTPOS/CASH/CHEQUE/DIRECT DEBIT. No. ______

RECEIPT No.______MEMBERSHIP No.______COMPLETED BY: ______

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