Leighton Corinthians YFC
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Leighton Corinthians YFC
Home
Teams
2024 Tournament & Presentation
2023 - 2024 Registration Form
2023 Football Taster Sessions
Information
News
Shop
Gallery
Club Contacts
Latest Tweets
Sponsors
Contact
Links
2023 Football Taster Sessions
RECEPTION & SCHOOL YEAR 1
Player's Full Name
*
Current School Year ( Please select from dropdown list )
*
Current School Year ( Please select from dropdown list )
Please Select
Reception
Year 1
Players Age ( Please select from dropdown list )
*
Players Age ( Please select from dropdown list )
Please Select
Age 4
Age 5
Age 6
Age 7
Players Gender ( Please select from dropdown list )
*
Players Gender ( Please select from dropdown list )
Please Select
Male
Female
Primary Contact Name
*
Primary Email Address
*
Primary Phone Number
*
First Line of Address
*
Post Code
*
Secondary Contact Name
*
Secondary Email Address
*
Secondary Phone Number
*
Medical History - Does the above named child have any Medical Conditions / Allergies of which the club should be made aware of?
*
If yes, please provide information
I understand that whilst all reasonable care will be taken with the child named above during their activity within the club, in the unfortunate event of any medical emergency I DO / I DO NOT consent to medical treatment being given.
I DO
I DO NOT
Permission to use child's name and photographs. Player's name and photographs maybe reproduced e.g on the club's website or social media platforms
I DO
I DO NOT
Parent / Guardian's Signature
*
Date
*
Date
Submit Registration Form