Shoreham FC Youth Membership
In order that this club has the necessary information concerning your child we would ask you to complete this form. We
are required to hold this information by the Football Association and our insurers. Your information is needed in order to ensure the club has your details to hand at all times, you are a valid club member, plus you will receive important information from the club which may include newsletter, match day details, club events etc via email.
Parent Name *
Your answer
Childs Name *
Your answer
Childs DOB *
MM
/
DD
/
YYYY
Parents Email Address *
Your answer
Parents Contact Number *
Your answer
Child Medical Conditions? *
Your answer
Full Address *
Your answer
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