Soccer School Camps COALVILLE TOWN YOUTH TEAMS SOCCER SCHOOL CAMP Player Details Player Name Player Age Player DOB 01/01/22 Players Address Player Post Code Parents Email Next Soccer School Dates Required ---- Dates Required Week 1 6th August 7th August 8th August Week 2 13th August 14th August 15th August Week 3 20th August 21st August 22nd AugustBackNext Parent-Guardian Details Parent Name Parent/Guardian Details/Emergency Phone No. (required) Parent/Guardian Details/Emergency Email Address (required) Second Emergency Contact Name (required) Second Emergency Contact No (required) Second Emergency Relationship to Player (required) Is there any family Members you wish not collect your child (required) YesNo Any impairments - that we need to be made aware of (learning/hearing difficulties) Any relevant information about their culture or faith that we need to be aware of. BackNext Medical Conditions Details Does the player have any medical conditions you feel the club need to be aware of? (required) YesNo if Yes, please fill in below details; Doctors Name (required if Yes) Doctors Address (required if Yes) Doctors Phone No (required if Yes) BackNext PLEASE READ Photographs may be taken of your child playing for Coalville Town Youth FC, Please tick if this is acceptable as we may use these photographs for publicity and promoting the club. YesNo We love to send you details about up and coming events,offers and the latest info from Coalville Town Youth Football Club by email, SMS and other electronic means. We'll always treat your personal details with the upmost care and never sell them on to other companies for marketing purposes. Yes - PleaseNo - Thanks Membership Terms and Conditions - Read and Understand View Code of Conduct I have read and understood the FA Respect Code of Conduct for Young Players, Spectators/Parents/Carers and the policies of the club and I will follow the Code of Conduct and Club policies at all times.If I do not follow the Code of Conduct and Club policies, I am aware of the possible actions by Coalville Town and the FA Please check your details are correct before submitting this form. Payment details will be sent out to the email provided. Back