Player Registration Form 16/17 - BTJ.fc
Which Team *
Please select both if playing in Rowsley (u15) and Derwent (u16) Team
Players Name
Your answer
Players Date of Birth *
Age as of September 1st 2016 *
Your answer
School from September 2016 *
Your answer
Did player play for Bakewell last season? *
Players Home Address *
Your answer
Postcode *
Your answer
Parent/Guardian Name *
Your answer
Mobile Number *
Your answer
Parent Email Address *
Your answer
Additional Emergency Name & Contact Number *
In addition to that of Parent/Guardian
Your answer
Medical Details *
Any conditions we should be aware of or enter non
Your answer
How do you want to pay? *
OK to use promotional images? *
Team and action shots - no names used without permission
Terms & Conditions *
I have read the online T& C's
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