Scorpions FC U16s Registration Form

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Thank you for your interest in joining Scorpions FC.

Please complete the below form for each player under 16 years of age.

If you are under 16 and completing the form yourself, please ensure you have permission from a parent/guardian.

If you have any questions, please contact scorpionsfc02@gmail.com

Email *

Which team are you/ your child registering for? *

Player's First Name *

Player's Surname *

Player's Date of Birth *

YYYY

Parent's Name *

Parent's Contact Number *

Secondary Contact Number *

Player Contact Number

Optional

Allergies/Medical Conditions

Please ensure the necessary medication and details of medical conditions are provided

Scorpions FC Disclaimer

By submitting this form, you (the Player or Parent) give consent to:

a) the use of any media that features the Player to be used by Scorpions FC, and

b) being contacted by Scorpions FC

If you wish to opt-out, please send an e-mail to scorpionsfc02@gmail.com

I understand that sports activities involves certain risks for potential injury. Scorpions FC will not be held liable for any injuries that may occur whilst playing for this club. Players play the games at their own risk.

Send me a copy of my responses.

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