**U6-U14s Wessington Juniors - Registration Form 2025/26**
Primary School: Under 6s, U7s, U8s, U9s, U10s U11s 
Secondary School: U12s, U13s, U14s
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Email *
Player Details
Name, Address, DOB, School, Year
Player Names *
Player Address & Postcode *
Date of Birth *
MM
/
DD
/
YYYY
Player School *
Current School Year *
Which type of football are you registering your child for?
 *
Required
Contact Details for Parents / Guardians / Grandparent
Name, Relationship, contact
Contact name for Parents / Guardians / Grandparent *
Relationship to player *
Contact Telephone Number (Mobile) *
Contact Telephone Number (Alternative)
Medical Information
Existing conditions
Medical Conditions *
Required
Is there any addtional medical information that you feel Wessington Juniors coaches should be made aware of?
Photography & Social Media Consent
Photographs, Socia Media Consent
I give Wessington Juniors my permission to take photos and videos of my child during training sessions *
I give Wessington Juniors my permission to use photos and videos on Club Website and other social media platforms *
Yes - I give my permission
No - I do not give my persmission
Club Website
Facebook
Instagram
Twitter
Is your Child a member of Hereford FC Juniors Bulls? *
Is your child registered with another Herefordshire Football club *
Any additional comments or information
A copy of your responses will be emailed to the address you provided.
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