SMYFC 22-23 Signing on Form
I wish to sign for Sturminster Marshall Youth Football Club. I have read and understand the rules and codes of conduct. I Agree to abide by all club rules and codes of conduct. I understand that the £60 (£30 for Mini Kickers (R and Year 1) and Children of Committee Members) signing on fee is non refundable and I declare that I have not signed for any other DORSET TEAM for the 2022 / 2023 Season.
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Email *
I agree to the above *
Players Name *
Players date of birth *
Team signing on for - please select one *
Players school (attending September 2022) *
Player School Year (September 2022) *
Players medical information (write N/A if none) *
Medical Consent
In the event that my Son/Daughter is injured whilst playing football or traveling to and from football events and I cannot be contacted on the above phone numbers, I hereby give my consent for my child to receive medical attention.
Medical consent as above *
Parent/Guardian contact Name *
Parent/Guardian contact Address including postcode *
Parent/Guardian Date of birth *
Parent/Guardian contact number *
Parent/Guardian email address *
Parent/Guardian 2 Name
Parent/Guardian 2 Contact number
Extra Emergency contact - name and number *
Social Media
I give my consent to allow my Son/Daughter inclusion e.g use of abbreviated name in match reports and picture in team photos on the club website and other social media
Social Media Consent as above *
Sharing Data
I acknowledge that the club will be sharing personal details with local leagues and the FA for Affiliation purposes. Players cannot play without doing so
As above *
Parent/Guardian Rules and Regulations consent
I agree that the information listed is correct, and agree for my Son/Daughter to play for Sturminster Marshall Youth Football Club. I & any persons attending with the player agree to be bound by, and observe the club rules/codes of conduct,the FA Respect program, the rules and regulations of the Football Association Ltd, the County Football Association and any rules and regulations for the competitions in which the club enters.
As above *
Signing on fees - £60 (£30 for Mini Kickers). The League/tournament fees for the forthcoming season are £3-00 per player per match/tournament. These fees are payable each match and tournament. (Teams may collect a variation of this fee to cover Assistant referees)
Payment Method *
Conduct and payment
Any player/carer or supporter that are found to be in breach of the club rules/codes of conducts or players receiving cautions/sent from the field of play may be asked to sit in with our disciplinary committee where further action may be taken.

To participate in training or friendly/league football matches, this form must be returned with payment to the club. Players will not be asked to play if the form and full payment has not been received.

Personal completing the form (print name) *
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