Birmingham Lions Registration Form 2018
Any player under the age of 18 MUST have this form completed by their parent or guardian.
Data Protection Statement
The information which you enter on this form is required for the efficient organisation of the programme and the safeguarding and wellbeing of all of its members. It will be kept in the cloud using Google Drive under restricted access and is subject to the provisions of the Data Protection Act 1998 and the General Data Protection Regulations 2018. The information will be disclosed only to the National Governing Body, University of Birmingham Athletic Union, health and welfare agencies or where a law or an emergency necessitates a disclosure. The information held must be kept up to date by law and so if any of the information which you now supply changes in the future, you should notify the programme in writing by emailing birminghamlionsacademy@gmail.com or complete another of these forms.

The information you provide in this form will be used solely for dealing with you as a member of the Birmingham Lions American Football Programme.

The programme has a Data Privacy Policy which can be found below. Your data will be stored in accordance with this policy.

I have read and agree to abide by the programme rules and codes of conduct linked below.

Link to Birmingham Lions American Football Data Protection Policy
Link to Birmingham Lions American Football Privacy Notice
Link to Birmingham Lions American Football Code of Coduct
Personal Information
First Name
Your answer
Last Name
Your answer
DOB
MM
/
DD
/
YYYY
Team Registering For?
Position
Address 1
Your answer
Address 2
Your answer
Address 3
Your answer
Postcode
Your answer
Email
Your answer
Mobile
Your answer
Nationality
Your answer
Emergency Contact Details
By completing the emergency contact details you are confirming that you have been given consent by the person named to do so. Their details will be held in accordance with the Birmingham Lions Data Protection Policy.
Emergency Contact First Name
Your answer
Emergency Contact Last Name
Your answer
Emergency Contact Address 1
Your answer
Emergency Contact Address 2
Your answer
Emergency Contact Address 3
Your answer
Emergency Contact Postcode
Your answer
Emergency Contact Mobile
Your answer
Emergency Contact Home No
Your answer
Personal Medical Information
Doctor Info
Your answer
Address 1
Your answer
Address 2
Your answer
Address 3
Your answer
Postcode
Your answer
Surgery Phone
Your answer
Allergies
Your answer
Diet Requirements
Your answer
Religious Requirements
Your answer
Do you suffer from
Do you wear
Do you take any prescription medication, if yes please state.
Your answer
Do you wear a medical alert bracelet
What is on the bracelet
Your answer
Any previous injuries
Your answer
Do you have any communication needs (eg., non-English speaker / hearing impairment / sign language user/dyslexia other special educational need)?
Must be answered by parent or guardian if under 18 years of age.
Do you participate in religion or spiritual practice?
Must be answered by parent or guardian if under 18 years of age.
Travel Arrangements Statement for players under 18
Arrangements will be made to collect and return athletes to specific pick up points. The Club’s responsibility stops and starts at these points. It is your responsibility to arrange safe travel to and from the pick up points. If you are ever delayed in collecting your child, please make every effort to contact the Club Contact or the escorting helpers so we can discuss arrangements for your child.
Non Football Activities Statement for players under 18
There may be occasions when your child is involved in planned and structured non-football activities such as a trip to the cinema, bowling or participating in a fund raising event. The Club will have collected appropriate information in preparation for the activity (eg., about the journey, the children’s various needs and helper skills), identified any potential risks or dangers, minimised the risks and dangers by careful planning and precautions and made sure we know who is responsible for putting precautions into place (eg., who will carry the First Aid kit). This process is called a risk assessment.
Remote Supervision Statement for players under 18
There may be occasions when your child is involved in planned and structured unsupervised non-football activities eg. whilst at Services on an away trip. Players will only be permitted to participate in these activities if it is considered appropriate to do so. If your child requires supervision at all times please contact the club.
Parental Consent for under 18's.
I give consent for my son / daughter to participate in the Birmingham Lions American Football Programmes events and agree to the conditions outlined above. I accept that it is my responsibility to inform the Club directly of any changes to the details recorded on this form. Please print and sign a copy of this form for all under 18's.
Member / Parent Declaration
I understand that all members will be required to abide by the programme rules and codes of conduct, and that in the event of an incident all reasonable steps will be taken to use the emergency contacts.
At times the Club may wish to take photos or videos of the team or individuals in it. We adhere to BAFA Guidelines to ensure these are safe and respectful and used solely for the purposes for which they are intended, which is promotion and celebration of the activities of the Club and for training purposes. Please indicate if this is acceptable to you:
Must be answered by parent or guardian if under 18 years of age. By agreeing to your images being used, you agree to assign any copyright or any other right of ownership of these images to the programme.
I give permission to appear in photographs taken during programme activities and used in programme publicity material, press releases and on the programme or British American Football Association website / social media.
Must be answered by parent or guardian if under 18 years of age.
I agree to the information given on this form being held on the programme’s membership database and also being passed to the British American Football Association. Please tick here if you consent to your information being held in this way.
The programme may wish to publish a membership handbook, yearbook or directory. This would include relevant member’s (e.g. programme/team captains, committee members) name, email addresses, phone/ mobile number, and will be available in either electronic or paper versions. If you consent to our data being shared in this way, please tick here.
I give permission for the administration of appropriate urgent medical treatment including an anaesthetic.
Must be answered by parent or guardian if under 18 years of age.
All data held by this programme and the British American Football Association will be held in accordance with the published Birmingham Lions and British American Football Association Data Protection Policy. This strictly limits the passing on of Member’s details.
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