LALFC Registration 25-26
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Is your child a new player to us, or have they been previously registered with the club?
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Player's First Name *
Player's Surname *
Date of Birth *
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Player's FAN
Address *
Team *
Parent/ Carer 1 Full Name *
Parent/ Carer Date of Birth *
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Parent/ Carer 1 FAN (if known)
Parent/ Carer 1 Email Address *
Parent/ Carer 1 Contact Number *
Parent/ Carer 1 Job *
Parent/ Carer 2 Full Name *
Parent/ Carer 2 Date of Birth *
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Parent/ Carer 2 FAN (if known)
Parent/ Carer 2 Email Address *
Parent/ Carer 2 Contact Number *
Parent/ Carer 2 Job *
Player Medical Information - Condition and medication details. Please state none if required. *
SEND/ Additional Needs
Media Consent - I agree and consent to LALFC using film/ photographs of my child for the sole purpose of promoting club activity.  *
Are there any safeguarding concerns that the club should be aware of? If ''Yes', you will be contacted by a member of the Safeguarding and Welfare Team. *
I/ We agree to complete the FA Safeguarding Awareness for Parents and Carers online course (FREE)

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I/We confirm that I/we have read and understood the FA's Respect guidance for Parents/Carers and procedures for reporting any safeguarding concerns to the County FA via the links below -

Respect guidance for parents/carers- https://www.thefa.com/-/media/cfa/global/files/safeguarding/guidance-for-parents-and-carers-use-of-text-email-and-social-media.ashx?la=en 

Safeguarding and Welfare- https://www.birminghamfa.com/about/rules-and-regulations/safeguarding-and-welfare *
The club are always looking to expand its team of volunteers, would you be willing to undertake a role if required?
*
We are grateful for the sponsors that enable the club to purchase, kit, equipment etc.  If you are aware of any sponsorship opportunities that would benefit the club or know of any company/organisation that could help your daughter's team please detail below. *
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