GRASSROOTS FOOTBALL REGISTRATION FORM

Please provide the following information to register your child to play grassroots football. We don't require this information to be nosy, it is required to input into the Whole Game System which is the official league system for player registration.

Player First name

Player Last name

Player Date of Birth

Address inc Postcode

Parent Contact Email

Parent/Guardian Full Name

Parent/Guardian Mobile Number

Parent/Guardian Date of Birth

We arent being nosy, this is required when adding player to the league system

Alternative emergency contact name

Alternative emergency contact tel number

Any medical conditions or allergies to declare?

Opt in to allow your child to be show on team photos online/social media

I acknowledge the following: Lancashire Spitfires will provide me with a full match day kit if competing in games. This is the responsibility of the player/parent. If lost or damaged you are responsible for the cost of £35. Should you decide to leave us then the kit must be returned to us.

File upload

Player Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

ID - Passport or birth certificate (for league approval)

Parent/Guardian Signature

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.