Tiny Titans Registration Form

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Please complete and submit the following form to express your interest in joining the Tiny Titans program for players aged between 3 and 5 years old.

Players Full Name (First Name & Surname) *

Player's Date of Birth *

YYYY

Parent/Guardian Full Name (First Name & Surname) *

Address *

Suburb *

Postcode *

Contact Phone Number *

Contact Email Address *

As this program is not covered by the Football NSW Insurance Scheme, we require participants to accept the following risk waiver:

I agree for my child to participate in the above program. I understand that although Cooks River Titans FC attempt to minimise any risk of personal injury within practical boundaries, accidents do happen and all physical activities carry the risk of personal injury.

I acknowledge that there is an inherent risk of personal injury in physical activities that will be undertaken as part of the program and I accept that risk and will not sue Cooks River Titans for any injuries or damages.

Required

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This form was created inside of Cooks River Titans FC.