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Coalville Town Youth Football Club

Home of Coalville Town Youth Football Club

  • Home of Coalville Town Youth
  • Player Membership
  • What we offer
    • Walking Football
    • Soccer School Camps
    • Football and Education
    • Mini Ravens
    • Wildcats Member Form
    • Soccer School Camp (school years 7-10)
  • Mental Health First Aid
    • Here if you need to talk
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Coalville Town Youth Football Club

Home of Coalville Town Youth Football Club

Wildcats Member Form


    About your Membership


    Your Membership Plan

    About the Player


    Players Name (required)

    Players DOB (required)

    Player Post Code

    Current School Year

    Contact Number (required)

    Parent Name (required)

    Parent/Primary Email Address (will be used for payment details)

    How did you hear about Coalville Town Football Club




    Emergency Details and Medical Details

    Emergency Contact Details

    1st Emergency Contact Name (required)

    1st Emergency Contact Phone Number (required)

    2nd Emergency Contact Contact Name (required)

    2nd Emergency Contact Phone Number (required)

    Medical Details

    Does the child signing on have any medical conditions that you believe we should be aware of that may affect the player during training or matches

    Doctor Details

    Welfare



    Wildcats Pay as you play

    Pay as you play £4.00 per session

    Payment made on attendance


    Membership Terms and Conditions - Read and Understand


    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

    Marketing


    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

    Playing for a team


    We expect your commitment to let your manager know if your child cannot attend training or will not be available for any games (giving as much prior notice as possible).

    If mine/parent/guardian behaviour causes the club to incur fines then you will be deemed liable for the associated costs. Any outstanding debts/fines may cause the player to be inegliable to play for the team until such time debts/fines have been cleared.

    Read & Understood


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