Fordingbridge Turks Football Club – Membership Application 2015-2016

Player Details (in capitals)

Full Name
Home Address
Postcode / Player’s Email Address
Date of Birth
School/College / School Year (R – 11)
Home Telephone / Player’s Mobile Telephone
Medical Details (in capitals)
Name and Address of Doctor
Telephone Number
Please state below details of any medical conditions, medication taken, allergies etc so that the club has full information in an emergency. Please notify in writing any changes that occur during the season so that our records can be kept up to date.

Parent / Guardian details (in capitals)

Full Name
Address (if different to above)
Home Telephone (if different to above)
Mobile Telephone
Email address
Capacity (Parent, Guardian, other)
Emergency Contact details (in addition to parent/guardian details above)
Name / Telephone
1.
2.

I apply to become a registered member of Fordingbridge Town Football Club

Player Signature: / Date

Parent/Guardian Consent

  • I confirm that the information provided above is correct.
  • I consent to my child playing football with Fordingbridge Town Football Club. I believe my child is in sufficiently good health to be capable of taking part in club activities.
  • I understand that the club and/or club officials shall not be held liable or responsible for any illness or injury sustained while taking part in, training for or travelling to/from any Club activities.
  • I consent to images/photographs/wording that may include my child being used for publicity purposes (e.g. local papers/Club website). I understand that players will not have their names published alongside any pictures in line with Club policy.
  • In the event of illness or accident, I consent to any necessary emergency medical treatment to be given to my child in the event that the club is unable to contact me.
  • I confirm that I shall advise the Club Secretary (in confidence) of any existing, or change in, circumstances (e.g. a court order) that may affect the above consents.
  • I confirm that all members of my family will comply with the codes of conduct available on the club website at

Signature / Date

Registration Costs

League teams (Under 8 upwards)
  • £115 for the season for players who wish to be eligible to play matches for the club, this covers registration, all training sessions and all match fees. Note that this makes players eligible for competitive matches for the club, it does not guarantee a place in the team. Second or additional players in the same family are £85 per player.
Or
  • £65 for the season for players who do not wish to play matches but wish to attend training sessions, this covers registration and all training sessions
All cheques should be payable to Fordingbridge Town Football Club.
Under 7s and below – £1 per week

For FTFC Use Only

Amount Paid:

Received by:Date:

(Club Official)

Affiliated to the Hampshire Football Association