Players Details
Details of football activity.
The participation in games, training and social activities.
I agree to John
Smith taking part in this activity. I agree to their participation in the activities
described. I acknowledge the need for them to behave responsible.
Medical information about your child.
Any conditions requiring medical treatment, including medication?
To the best of your knowledge, has your child been in contact with any contagious or
infectious diseases or suffered from anything in the last four weeks that may be contagious
or infectious?
Is your child allergic to any medication?
Does your child suffer from any other allergies, such as food types?
Has your child had a tetanus injection?
Declaration
I will inform the person in charge as soon as possible of any changes in the medical or other
circumstances between now and the end of the season,
I agree to my child receiving medication as instructed and any emergency dental, medical
or surgical treatment, including anaesthetic or blood transfusion, as considered necessary by the
medical authorities present. I understand the extent and limitations of the insurance cover provided.
I agree to my child receiving first aid treatment from any member of the Drayton Grange
coaching staff qualified to do so.
I will inform the person in charge as soon as possible of any changes in the medical or other
circumstances between now and the end of the season,
I agree to receiving medication as instructed and any emergency dental, medical
or surgical treatment, including anaesthetic or blood transfusion, as considered necessary by the
medical authorities present. I understand the extent and limitations of the insurance cover provided.
I agree to receiving first aid treatment from any member of the Drayton Grange
coaching staff qualified to do so.
Main Contact
Secondary Contact
By submitting this form, players and parents/carers agree to abide by Drayton Grange Football Club's
Code of Conduct. Please retain your copy of the Code of Conduct for future reference. If there are
any other details not covered in this form, which you feel we should be made aware of, or you have
any concerns or comments, please speak to a member of the coaching staff or committee.
This is an abbreviated version of our full data privacy notice which is available on request or from
our website. We may process yours and your child's personal data in order to administer memberships,
and provide membership services you are signing up to when you register with the club. Yours and your
child's data may be shared with selected third parties, suppliers and sub-contractors such as referees,
coaches or match officials for the purpose of conducting required activities
