Kickers Club - Child Registration Form 2019/20
Shrewsbury Up & Comers Football Club

For child safeguarding reasons we need to keep up to date information on the children taking part in our sessions. Please can you complete this form which up dates our records.

Please let us know if we need to change our records, especially if it is for medical reasons. As details can change we will ask you to complete this form at least every 12 months.

We will only use your information to contact you, communicate club information and age categorise players correctly.

From time to time we may need to share player information with the Shropshire FA and Shropshire Junior Football League and other associated Football organisations for the purpose of entering into competitions.

We also work closely with Passmaster Shrewsbury, you have the option whether to receive information about other training opportunities, holiday clubs, etc.

You can ask us to remove your information at any time by emailing

We recommend you follow us on FACEBOOK for regular information on Club activities, changes to training times etc.

Whilst we endeavour to find places for as many children as we can in our Club teams, we are always limited by capacity and availability of Club coaches to run our teams.

By registering your child with our Kickers you are agreeing to abide by the clubs code of conduct.

Please respect guidelines with regard to photography and refrain from taking pictures during the session/sharing on social media. The Club routinely posts pictures (within Safeguarding guidelines) to social media sites, any parent not wishing to have pictures posted on the Club social media feeds needs to inform the session staff.
Name of Player *
Your answer
Boy or Girl *
School Year (as of September 2019) *
Date of Birth (dd/mm/year) *
Your answer
Parent/Carer Name *
Your answer
Email Address *
Your answer
Post Code *
Your answer
Parent/Carer Emergency Phone Number *
Your answer
Medical Condition? (You must tell us about any relevant conditions, e.g. Allergies, Asthmatic, etc) *
Medical information (mandatory if yes). You must be present at all sessions if your child has a relevant condition, with any prescribed medication
Your answer
School Currently Attending
Your answer
Consent - use of player images on social media (we follow FA guidelines) *
Consent - Club information by email/text *
Date Registered *
Consent - Passmaster information by email/text *
Club Code of Conduct
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