Six-Week Coaching Programme

Participant Name:

Participant Email:

Contact Number:

Participant's Date of Birth:

Participant Ethnicity:

If 'Other', please specify:

Postcode:

School:

Current football team (if applicable):

Parent/Guardian Name:

Parent/Guardian Email:

Parent/Guardian Contact Number:

Do you consent to your young person taking part in the 6-week player/coach programme?

Does your young person have a medical condition/additional requirements? If so, please provide information:

Does your young person have photo consent?

In the event that your child is injured whilst taking part in the activities and you cannot be contacted, would you have any objections to your child receiving medical attention?

Consent Form

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