Hay St Mary's Registration for 25/26 
Welcome to Hay St Marys for the 25/26 Season 

* Please note this form is part of a binding contract with the club* 
When you sign up you are expected to pay for the full year (either in full or 12 Direct Debit payments) 
This season fees will be £120 in full or 12 x £10 Direct Debit payments 

**Please speak to a manager before signing up to the club**

PLEASE ANSWER ALL QUESTIONS 
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Players full name (First middle, surname) 
DOB
MM
/
DD
/
YYYY
Place of birth 
Country of birth 
(If new to the club and you were born outside of Wales please email the club a copy of your passport) 
Nationality 
Previous Club (Name and country)
Comet number (if known)
Address 
Contact number 
IMPORTANT - Email address (needed for Comet) 
Do you have any medical conditions/disabilities/allergies we should be made aware of? 
Emergency contact name & number
I agree to be bound by, and to observe, the Club Rules, Parents' & Players' Codes of Conduct, and The Rules and
Regulations of The Football Association of Wales Limited, the Area Football Association, and all Competitions in
which the Club participates.
By completion of this form, I consent to the supply and storage of photos and personal information to (FAW), Area
FA, & the Club in accordance with FAW Privacy Policy & GDPR.
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Fees 

£120 for the season or 12 Monthly payments of £10 

Please state below if you paid the full £120 or have have set up £10 per month Direct debit stating name on transaction '

E.G -

'Yes payment of £120 made under (Player's name)'

'Yes direct debit of £10 for 12 months set up under (Player's name)


Hay St Mary's Football Club 
S/C - 30-99-50
A/N - 57536563

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