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Child's First Name
Last Name
Gender
Boy
Girl
Age Group
School Year 1 - U6s
School Year 2 - U7s
School Year 3 - U8s
School Year 4 - U9s
School Year 5 - U10s
School Year 6 - U11s
School Year 7 - U12s
School Year 8 - U13s
School Year 9 - U14s
Date Of Birth
Medical Info
Parent's Name
Email
Emergency Contact Number
First Aid Consent
I understand that if my child is injured during a session and I am not present, one of the club's qualified First Aiders will treat my child. If the injury requires hospital treatment I consent to a team member accompanying my child to hospital.
Image Consent
I give my permission for Sporting Club Merseyside (Elite Youth Football Development Ltd) to use images of my child in future publications, social media posts or coaching analysis.
Terms & Conditions
I agree to the
Terms & Conditions
and to the
Privacy Policy.
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