Registration form | Professional football academy coaching for juniors in Yorkshire

Player registration form

Choose which training centre *

Which sessions will you be attending? *

Technical session (Tuesday or Friday)
One2One (Tue, Thurs or Sat)
DSC JFC Team training
Game related session (Mon)

Player name *

First

Last

Date of birth *

Address *

House number, street, town

Postcode *

Email *

First contact name *

First

Last

Mobile number *

Second contact name

First

Last

Mobile number

Second contact email

Medical information *

Please tell us if the player has any medical conditions, allergies or disabilities

Parent/Guardian *

I confirm that the player named above will have a parent or other responsible adult instantly accessible to administer any medication, such as an inhaler, EpiPen or any other medication.

Date *

Date format 00/00/00

1. I confirm *

All information provided above is correct at the date of signing.

Please tick box

2. I confirm *

If any information changes (medical, contact details etc), you will instantly inform DSC.

Please tick box

3. I confirm *

In the event of my child becoming injured or ill whilst participating at DSC Elite Football Academy, I hereby give my consent for my child to receive medical attention.

Please tick box

Signed parent/guardian *

Print your name to sign

General Data Protection Regulations *

I agree to the policy below

We are required to gain your consent to the use of any data relating to your child for the purposes of external marketing and / or the sharing of your child’s details for the purposes of our regular sessions or other activities such as football fixtures.

This form therefore will constitute for verifiable parental consent (gives your consent as parents) for DSC Elite Football Academy Ltd to provide personal identifying information for your child that, may consist of first name, last name, birth date, and, if applicable, email, address, telephone number and medical information in order to attend sessions/fixtures or for DSC Elite Football Academy Ltd to incorporate your child in any internal or external marketing.

Permission

From time to time DSC Elite Football Academy Ltd may use player photos for marketing and publicity purposes. We will only use photos or films of your child for such purposes if you have completed this form. Once agreed to, the permissions will remain in effect for the duration of the player’s enrolment at DSC Elite Football Academy Ltd unless parental permission is withdrawn in writing.

You may withdraw your consent at any time. If you wish to do so please contact us at the details below. On receipt of such a notification we will remove any images from our websites/facebook page etc. Please note that if you have consented to the use of photos in DSC Elite Football Academy Ltd flyers / leaflets etc, we will not be able to remove these images from any documents that have already been printed.

The Company Director, Chris Beckley, is responsible for ensuring that DSC Elite Football Academy Ltd complies with the Data Protection Law. He can be contacted on info@dscelitefootball.co.uk or 07961755941.

For further information regarding how DSC Elite Football Academy Ltd uses personal data please refer to the privacy notice on our website: http://dscelitefootball.co.uk/privacy-policy/