Football FUNatics Registration Form
Welcome to Football FUNatics Coaching

Our company is tailored for younger children that enjoy football/ sport that you may feel need to develop ability, confidence, communication, fitness and other social skills in a Football FUNatics non pressured positive environment.

If this applies to your child we guarantee we can improve them in a fun way.

All our courses are run by experienced Play work, Youth work and F.A. Qualified, DBS Checked football coaches. This session is open to boys and girls with 2 coaches minimum.

We enhance a child’s enjoyment, enthusiasm, commitment and learning of skills so they will be having so much fun they will be eager to keep developing!!

The cost is £7.50 per week (£32.50 payable monthly) however your first session will be a one off payment made upon entry on the day.
The sessions are usually indoors in the sports hall so trainers should be worn (not boots, however this may change if preferred in the summer months) and all children must come with their own drinks bottle to allow the smooth running of the session.

Please fill out the registration form as well as you can.
If answers are not relevant please leave blank or put N/A

Thank You
FULL NAME(PARTICIPANT) *
FULL PARENT NAME IF CHILD IS UNDER 16 (THIS WILL BE USED FOR INVOICING)
GENDER (PARTICIPANT) *
HOME ADDRESS *
HOME TELEPHONE NUMBER
PRIMARY MOBILE NUMBER FOR CORRESPONDENCE (GROUP MESSAGES ETC) *
PRIMARY EMAIL ADDRESS FOR CORRESPONDENCE (INVOICES, ETC) *
CHILDS DATE OF BIRTH *
MM
/
DD
/
YYYY
AGE IN YEARS *
SCHOOL YEAR GROUP (ONLY NUMBER) *
PLAYERS PREFERRED POSITION
Clear selection
DO YOU/THEY PLAY FOR A TEAM
Clear selection
IF YES.. WHICH TEAM? (IF APPLICABLE)
AREAS TO IMPROVE (CAN TICK MORE THAN 1) THIS IS SO WE CAN PERSONALISE YOUR COACHING *
Required
SCHOOL NAME (IF APPLICABLE)
MEDICAL DETAILS - PLEASE PROVIDE MEDICINE/EQUIPMENT IF NEEDED (IF NONE PUT N/A) *
DO YOU CONSENT TO US ADMINISTERING FIRST AID AND MEDICINE IN AN EMERGENCY? (WE WILL ALWAYS TRY TO MAKE CONTACT BEFORE ANY MEDICAL DECISION *
IS THERE ANY OTHER INFORMATION THAT WOULD HELP US TO PROVIDE THE BEST QUALITY CARE FOR YOU/YOUR CHILD?
EMERGENCY CONTACT 1 - FULL NAME, RELATION TO CHILD & CONTACT NUMBER *
EMERGENCY CONTACT 2 - FULL NAME, RELATION TO CHILD & CONTACT NUMBER *
DO YOU GIVE CONSENT TO USE PICTURES FOR SOCIAL MEDIA WEBSITE & PROMOTIONS *
IF 1TO1 / 2TO1 COACHING.. WHERE WOULD YOU LIKE COACHING TO TAKE PLACE?
Clear selection
1to1 2to1 PREFERRED COACHING DAY(S) (CAN TICK MORE THAN ONE)
ALTHOUGH THE COMPANY HAS PUBLIC LIABILITY INSURANCE I DO NOT HOLD FOOTBALL FUNATICS LIABLE FOR ANY LOSS OF PROPERTY/ INJURY OR HARM TO ANYBODY WHILST IN THEIR CARE. *
ARE THERE ANY OTHER COMMENTS YOU WISH TO MAKE?
TERMS AND CONDITIONS
1TO1 COACHING - Please note at least 24 hrs notice will be required for cancellations of 1to1 and 2to1 sessions or you will still be charged 50% of the session fee.

GROUP COACHING - after the first group session to continue receiving the service i will enter a contract to pay every month on the 1st at the rate agreed with the company (£32.50).
Monthly invoices will be sent out to primary email.
To help the sustainability of our business any payments will be non refundable unless cancelled by Football Funatics.
If you wish to terminate this agreement 1months notice is required before cancellation of the service.

Parents are welcome to stay for the first couple of sessions if need be then we would invite you to either wait in the cafe next door/ car park where you can still see what we are doing, or come back at the end of the session.
If outdoors there are a number of areas you can watch them from a short distance.
This allows the children to independently develop, socialise and make good friendships during these enjoyable sessions.

PLEASE PROVIDE YOUR FULL NAME (THIS WILL ACT AS A SIGNATURE & CONSENT) *
Thank you for taking the time to fill out the registration form. Football FUNatics Welcomes You!!
We will be in contact soon with more information for you.
Dale & Lewis
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