FULL REGISTRATION FORM

DEAR PARENT

By registering your child with the PFA, you are consenting the PFA United academy to take pictures and record your child during training/matches for commercial, marketing, and training development purposes. PFA United academy will take all steps to ensure these images are solely used for the purposes they are intended. If you become aware that these images are being used inappropriately you should inform PFA United academy immediately.

Training Sessions*

Please let us know what date you would like to attend your first training. *

Who recommended you? Player, Parent or School's Name?

We are running a Players Referral Competition. If you were recommended by a parent, please let us know his/her name so we can give them a free week of training at the Academy.

Preferred Email for Communication*

STEP 1/4 - PLAYER

Date of Birth*

Address*

Postcode*

Mobile Phone Number*

Position*

STEP 2/4 - PLAYER'S MEDICAL DETAILS

GP Name*

GP Doctor*

GP Contact *

Medical Concerns/Allergies*

Medical conditions, allergies, past or present injuries or anything else you think we should know.

STEP 3/4 - PARENTS

Mother's First Name*

Mother's Surname*

Mother's Contact Number*

Mother's Email *

Mother's Address

Leave blank if it's the same as the player's.

Father's First Name*

Father's Surname*

Father's Contact Number *

Father's Email*

Father's Address

Leave blank if it's the same as mother's address.

STEP 4/4 - EMERGENCY CONTACT
The emergency contact must not be one of the parents.

First Name *

Surname*

Mobile Phone Number*

Relationship *

OFSTED

Kit Sizing Shirts*

Kit Sizing Shorts*

Kit Sizing Socks*

How did you find out about us?*

Email address*

This field should be left blank