Application Form

Fill in the form below. Please note: in step 2 you will need a copy of your birth certificate and a passport photo.

Child name

Date of birth

Gender

Team age group as of season 2022/2023

Address

Town

County

Post Code

Does your child have any allergies?

Does your child have any medical conditions?

Is your child taking any medication?

School

School year as of September 2021

Emergency contact 1 name

Emergency contact 1 phone

Emergency contact 1 mobile

Emergency contact 1 email

Emergency contact 2 name

Emergency contact 2 phone

Emergency contact 2 mobile

Emergency contact 2 email

Permission for photos/videos to be taken and published to social media and the website

birth certificate

6 + 1 =