Clifton Rangers JFC

Open Age Registration Form

Please complete this registration form, and then set up a Direct Debit for Fees.

First Name *

Last Name *

Registration / Training Only - Reduced Fee - Not registered with the League *

Date Of Birth (DD/MM/YYYY) * +

Ethnic Origin *

Are you registered with
another Club this season? *

Do you have any outstanding Fines with the League or another Team *

House Number & Street Name *

Town *

Postcode *

Occupation *

Mobile Phone Number *

Email Address *

Emergency Contact Name *

Emergency Contact Number *

Please indicate if you have any medical conditions we should be aware of? *

If there are any changes, I will contact the Manager and the Club in writing and complete a new registration form so that Clifton Rangers JFC are provided with the new information. *

Yes I will inform the Manager and the Committee in writing.

Player Consent *

I agree for this player to be associated to the team selected above.

Photography Consent *

I confirm that I give my consent for my name and photograph to be displayed on the club’s website, or included on any newsletter or promotional media produced and issued by the club, or in full published in any local newspaper.

Medical Consent *

In the event I am injured whilst playing football/travelling to and from football events and my Emergency Contact cannot be reached, I hereby give my consent to receive medical attention.

GDPR Consent *

I agree that Clifton Rangers JFC can use my contact details to contact me with information regarding the club, team or player. Examples would be training times, match information, club information etc.

Required *

In signing this Form we agree to abide by the rules & regulations of Clifton Rangers JFC as stated in the Constitution & Club Rules available at www.crjfc.co.uk

Required - Transfer Refusal *

I understand that the Team will refuse a Transfer or refer me to the LFA if I leave the team with any unpaid Fines.

Signed *

clear

Date * +