Swiss Valley Rangers FC

Please use the form below to register your child for the coming 2021 / 2022 season, thank you.

Player's First Name*

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Player's Surname*

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Date of Birth*

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DD-MM-YYYY

Parents’ (U18 players) / Carers’ Name(s) if applicable

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Address*

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Postcode*

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Contact Phone Number *

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Email*

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Second Contact Phone Number

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Second Email

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Health & Wellbeing

Full name/s and phone numbers of emergency contact/s if different from those above

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Does the player have a registered disability?

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Does the player have any medical conditions the Club should be aware of?

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If YES, please give brief details & any information of which we should be aware

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Please confirm which payment option you’ll set up for the 2020/21 season below

Payment Option*

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Declarations

Declaration in respect of 16 and 17 year old players

I agree that anonymous photographs of my son / daughter may be shown on the Club website
I agree to my son / daughter receiving medication as instructed and any emergency dental, medical or surgical treatment, including anaesthetic or blood transfusion, as considered necessary by the medical authorities present, in my absence.
I acknowledge that individual information will be stored on the FA’s Whole Game Player Registration system.

By checking the confirmation box and clicking on the submit button below you confirm that you have read and agree to abide by the Club Ethos and Club Code of Conduct and pay all Club membership fees due

Confirmation*

Yes I confirm

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Security*

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Senior Registration Form

Health & Wellbeing

Declarations

Club Registration Form

Click here to register