Witton Albion Junior Football Club Player and Parent registration
Please complete all fields. If you have more than one child with the club a separate form is needed for each child. If you have any questions about the content of this form please email treasurerwittonalbionjfc@gmail.com
Email address *
Player details
2019-2020 season team (select one) *
Player's full name *
Your answer
Main address and post code *
Your answer
Player's date of birth (dd/mm/yyyy) *
Your answer
Ethnicity *
Medical conditions e.g. asthma (type 'none' if not applicable) *
Your answer
School/College attended (from September 2019) *
Your answer
Parent / Carer Contact Details
Primary Parent / Carer Contact full name *
Contact Name 1
Your answer
Primary Parent / Carer date of birth (dd/mm/yyyy) *
We require this for the FA Whole Game System (WGS) to link your details to your child's record on WGS. Each player has to be registered with the Mid Cheshire Youth Football League on WGS to be able to play in official fixtures. You may also be asked by the team manager to provide them with a digital 'head and shoulders' style photo of your child to be added to WGS.
Your answer
Primary Parent / Carer main contact telephone number *
Primary Contact Number 1
Your answer
Primary Parent / Carer alternate telephone number
Alternative number for Contact 1
Your answer
Primary Parent / Carer email address
We will use the email address provided at the beginning of this form to send team and club-specific information to. If you want this information to be sent to a different email address please provide it below.
Your answer
Secondary Parent / Carer Contact full name
Contact Name 2
Your answer
Secondary Parent / Carer main contact telephone number
Primary Contact Number 2
Your answer
Secondary Parent / Carer alternate telephone number
Alternative number for Contact 2
Your answer
Secondary Parent / Carer email address
Email address for Contact 2 which is used to send team and club-specific information.
Your answer
Consent
Parental Consent (please select) *
In the event that my child is injured while playing football or travelling to / from a football event, and I cannot be contacted, I give my consent for my child to receive appropriate medical treatment. I agree to be bound by, and to observe, the Club Rules and Codes of Conduct, which are available at www.wittonalbionjuniors.co.uk and the Rules and Regulations of the Football Association Limited and Cheshire County Football Association, and all Competitions in which the Club participates.
Photograph consent (please tick) *
Required
Gift Aid
Witton Albion Junior Football Club is a Registered Charity (No. 1106178). Using Gift Aid means that for every £1 of subscriptions that you donate, we get an extra 25p from HMRC, enabling the Club to provide even better facilities for your child at no extra cost to you. If you have previously indicated that you wish to help Witton Albion Junior Football Club in this way, we will continue to do so until you tell us otherwise. You are a UK taxpayer and understand that if you pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all your donations in that tax year it is your responsibility to pay any difference. Parents of newly registered players will need to complete a separate online declaration form.
Gift Aid Declaration taxpayer's full name *
Please provide the subscription payer's full name.
Your answer
Gift Aid Declaration (continued) taxpayer's address and post code *
Please provide the subscription payer's full address only if different from the address given for your child above. Otherwise please answer with 'same as above' or similar.
Your answer
Player Registration Fee
An annual player registration fee of £20 is required which covers your child’s membership to Witton Albion Junior FC, the Mid Cheshire Youth League registration fee, and the legally required compulsory insurances.

This is a requirement for all players at the beginning of the season, regardless of whether they were previously a member or not.

Payment can be made directly into the club account (601529 92528937 in the name of Witton Albion JFC), cash or cheque payable to Witton Albion Junior FC and handed to the team manager.

Registration fee payment confirmation *
Required
Watch Witton Albion FC home games for free!
Your child will be automatically enrolled onto the ‘Junior Albs’ Official Membership Scheme and they can watch every Witton Albion home league and friendly games for free during the forthcoming season!

Players will receive their own personal membership card to be shown at the turnstiles for free admission, plus you can apply for them to be a mascot at any of our home games where they can meet the Witton Albion players. There are other benefits too with more surprises along the way.

Membership cards are non-transferable. Membership cards can be collected from turnstiles on entrance to the ground or by prior arrangement at other times. Free admission is available for EVO-STIK Premier Division home league games and friendly fixtures, but not cup games due to restrictions. Any personal data collected will be used for the purposes of processing the application, administering the membership scheme and informing you of membership and other benefits. Personal data is collected and managed in accordance with Witton Albion FC's Data Protection Policy and Privacy Policy. Should you require further information contact Witton Albion by email to juniors@wittonalbion.com.

Privacy and Data Protection
Privacy Notice (please tick) *
I understand that Witton Albion Junior Football Club will hold this data and process it solely for the purposes of football related administration and in accordance with the full Privacy Notice detailed at www.wittonalbionjuniors.co.uk
Required
Data Protection (please tick) *
I understand that Witton Albion Junior Football Club will hold this data and process it solely for the purposes of football related administration. If you wish to see a copy of all data held on your child, please contact the Club Secretary.
Required
A copy of your responses will be emailed to the address you provided.
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