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Signing On Form 23-24 Season

Signing on is now online

Please complete the signing on form for you child to register them with Brackley Athletic. All policies are available on the policy page.

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Player Name *

Address1 *

Address2

Town *

Postcode *

Home Phone *

Mobile Phone *

Date of Birth *

Email *

Team for Season 23 - 24 *

Manager Name *

Parent/Guardian Name *

Emergency Contact Name *

Emergency Contact Number (Mobile) *

Emergency Contact Number (Home) *

Have you lived in England for the last 5 years?

Yes

No

Have you previously played for another football club?

Which school does the player attend? *

Medical Conditions *

If you child is diagnosed with a medical condition or started on new medication during the season please let your Team Manager know. In some circumstances it may be necessary for the club Medical Officer to contact you for further information about your child’s health needs or welfare.

Allergies *

Regular Medication *

Additional needs the club should be aware of *

Terms and Conditions *

By clicking this box I have read and understand the Brackley Athletic membership rules & Constitution, Code of Conduct and polices, which are available on the policies section of the club website, and hereby give permission for my child to train and where possible play football matches with Brackley Athletic Football Club.

Membership Fee *

I understand that the membership fee is to cover the costs associated with running the football club which includes player & public liability insurance, the provision of appropriate training equipment and qualified coaches, this list is not exhaustive. The fee does not guarantee my child a place in the team for regular games. For a breakdown of fees and sibling discount please check our policies section of the website or click here.

Payment Schedule *

I will pay the annual membership in two instalments. The first payment of £100 is due by 31st August (or play in Autumn season will not be permitted) and the second payment of £100 is due by 30th November (or play in the Spring season will not be permitted).

I will pay the membership over a six month period. The first payment of £50 is due 31st July followed by 5 monthly payments of £30 due by the end of each subsequent month.

I would like to discuss an alternative payment plan with the finance team.

Privacy Agreement *

I agree to the Brackley Athletic Football Club privacy notice and data protection policy and understand how the club will store and use my / our data. A copy of the privacy notice is available here and data protection policy is available here

FA Respect Policy (Children) *

I confirm my child has read and agrees with the FA Respect Policy

FA Respect Policy (Parents) *

I confirm that I have read and agree with the FA Respect Policy for Parents/Guardians

Consent

I agree to be contacted by the club with details of club events, news or notices via email or social media including but not limited to Facebook, WhatsApp and/or Telegram. I also consent to the club using photos or videos of me or my child for Brackley Athletic FC either on our website, our social media channels or other marketing materials.

CONTACT US

info@brackleyathletic.co.uk

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We play all our home games at: Brackley Leisure Centre,
Springfield Way, Brackley, Northamptonshire NN13 6JJ

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