Club Membership Form 2024/25 (Copy) — Kiko Football Club

Club Membership Form:

This form creates legally binding obligations between you and the Club. You should read it carefully before giving consent.

Useful Links to Policies:

Stage 1 - Photo ID (New & Returning Members)

Please upload an image of your Son or Daughter, it must be a passport style photo, this photo will be used for their ID card. Please note this will open in a Separate Tab, once uploaded please return back to this tab.

Please ensure the file name is the name of the player. Please note the link below will open a new tab, you will need to return to this tab to move onto Stage 2.

Stage 1 - Upload Photo ID

Once submitted please proceed to Stage 2

Stage 2 - Proof of Date of Birth (New & Returning Members)

Please upload a copy of your Son or Daughter’s Passport or Birth Certificate, this is a league requirement. Please note this will open in a Separate Tab, once uploaded please return back to this tab.

Please ensure the file name is the name of the player. Please note the link below will open a new tab, you will need to return to this tab to move onto Stage 2.

Stage 2 - Upload Proof of ID/DOB

Once submitted please proceed to Stage 3

Stage 3 - Membership Form (For New & Returning Members)

Player's Name

First Name

Last Name

Age Group

Please select the team they will be playing for during the 2024/25 Season

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Player's DOB

DD - MM - YYYY

Player's School

Contact Details:

1st Contact - Parent/Guardian Name

1st Contact - Phone Number

1st Contact - Email Address

Parent's Date of Birth

Used for FA System Registration

2nd Contact - Parent/Guardian Name

2nd Contact - Phone Number

2nd Contact - Email Address

Undertaking A:

In consideration of my being admitted as a full member of the Club, I agree to be bound by and observe: Code of Conduct, Safeguarding and Medical Declaration; and other Regulations of the Club and the Football Association. I also agree to consider any guidance and follow any instructions that I may be given and to take responsibility for my actions and those of any guests that I may bring to the Club or in visiting other premises.

Have you read and understood the Code of Conduct, Streaming Policy and Medical Policy? See Documents at the top of the Page.

Yes - I have read and Understood the Code of Conduct, Streaming Policy and Medical Policy

Undertaking B:

I declare that I have read and understand Undertaking A above and that I am the Parent or Legal Guardian of the Applicant giving the undertaking, who is a Minor. I agree both on my behalf and on behalf of the Applicant to accept and be bound by Undertaking A. I am over 18 years of age. By returning this completed form, I agree to my son / daughter / child in my care* taking part in the activities of the club.

Parent's Name

First Name

Last Name

Do you accept Undertaking B?

Yes - I accept Undertaking B and I formally give consent for my child to take part in the activities of the Club

Data Protection

I understand that my information will be used by the club for club purposes ONLY and to ensure that I am kept informed about club fixtures, news & events. The club will not share the information with any third parties. More information about how we treat your personal information is set out in the Club’s Data Protection Policy.

Data Protection

I hearby have understood and agree to the clubs Data Protection Policy

Do you give us permission to use photos of your child on Social Media and our Website

We use no names within our posts

Yes

No

Medical Declaration

When or if playing under instruction, you will be doing so with a suitably qualified coach. It is your responsibility to inform us of any medical condition that we should be aware of that may affect your ability to play or train.

Medical Consent

In the Event that my son/daughter is injured whilst playing & I cannot be contacted on the number above, I hereby give my consent for my child to receive medical attention.

Does your Son/Daughter have any pre-existing Medical Conditions? Please state details below