Player Registation - Brackley Athletic FC

Membership type

Full Membership Training Only Soccer School "Full membership" is required for participating in matches and being registered with the relevant league. Where "Training only" is provided the player may not participate in matches or be registered to play with the relevant league for the team. When selecting Training Only - Please select to discuss Payment options with Finance Team

Player Name

Address1

Address2

Town

Postcode

Home Phone

Mobile Phone

Date of Birth

Team for Season 26 - 27

Team and Manager are listed for the 26-27 season.

Is this player eligible for a discount?

Sibling

Coach / Manager / Committee Member

None

Select Sibling only if another child in your family is already registered at full membership price for this season. The first child registered should select None. Coaches discount can be applied for the first registered child

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

Have you previously played for another football club?

Which school does the player attend?

Medical Conditions

If your 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. Brackley Athletic reserve the right to review, suspend, or withdraw membership at our discretion where the standards of our code of conduct and associated policies are not met. For a breakdown of fees and sibling discount please check our policies section of the website or click here.

Payment_Schedule

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.

Signing On Form - 26-27 Season

Registration form 26-27

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