Derry Hill United FC Contact / Medical Form
Thank you for enquiring about playing football at Derry Hill United FC.  Before attending any taster sessions with a squad it is important the coaches have your contact information and any relevant medical information for the player. Please complete this form before attending your first DHUFC session.
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Parent / Guardian's Name *
Parent / Guardian's Email *
Parent / Guardian's Phone number *
Parent / Guardian's Address *
Player's Name *
Player's Date of Birth *
DHUFC squad joining? *
Please detail below any medical conditions/allergies from which your child suffers: *
Please give details of any medication/inhalers/treatment required: *
By responding with "Confirm", I confirm that the details above are correct and that if any of them change I will notify the Coach or Club Secretary.I accept that if my child is hurt or unwell, a coach, Club official or a club volunteer can administer Emergency Aid to them if that person believes it to be in the best interest of my child. I recognise that they will, at all times, seek to act in the best interest of my child and will not intentionally put them at greater risk. As such, I agree I will not hold the individuals concerned or the Club liable for any problems subsequently arising from Emergency Aid administered with good intent. *
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