Join RFC / 2020 – 2021 Season - Reigate Football Club

Player's Name*

First Last

School*

Please indicate the school your child attends for the year beginning September 2021.

OTHER School*

Please tell us the name of the school your child attends.

Year Group*

Please indicate the year group of your child for the school year beginning September 2021.

Gender*

We welcome BOTH boys and girls at RFC.

Date of Birth*

Existing RFC Player?*

Did your child play for RFC in the season 2020-21?

Players Email*

As the player will be 16+ years old during the coming season, we require their own email address.

Enter Email Confirm Email

Medical Information*

Does your child have any known health needs? e.g. diabetes, asthma, epilepsy, allergies. Please be as specific as possible if there are actions the Club should take (e.g. provision of medication) or if club members need any medical training other than First Aid to care for your child.

Adult One - Contact Details

Name*

First Last

Relation to Player*

OTHER Relation to player - Please Clarify*

Email*

Home Phone*

Mobile Phone*

Adult Two - Contact Details

Name

First Last

Relation to Player

OTHER Relation to player - Please Clarify

Email

Home Phone

Mobile Phone

Player Registration Fee Payment*

The full season fee for the 2021/22 season will revert to £200.

To reflect the shortened 2020/21 season, a credit pay be available to be offset from this payment. Please refer to Our June 2021 Newsletter or speak to your team manager for more details of the credit that applies to you.

If you are paying in a lump sum then the payment must be received before the start of the season. If you are paying in instalments, the first payment must be received before the start of the season and full amount paid before 30 September 2021.

Please indicate how you intend to pay this year's registration fee.

Please Note - New players should not make a payment until their place has been confirmed.

Please Note - U6 Development squad registration fee is £60.

General Consent*

Medical Consent
If it becomes necessary for my child to receive medical treatment and I cannot be contacted to authorise this, I hereby give my general consent to any necessary medical treatment and authorise the team manager/coach appointed by Reigate Football Club to sign any document required by the hospital authorities. By selecting "I consent" below, I agree with the above.

Consent to Play
I understand that whilst every care will be taken by the officials of the club to ensure that players are properly looked after, it must be remembered that football is a physical game and from time to time injuries do occur. It is of course rare for these injuries to be more than superficial. However, it must be accepted that Reigate Football Club (including its volunteers) cannot be held responsible for any injuries that may be incurred. I give consent for my child to participate in Club activities/events and agree to the conditions outlined above. I accept that it is my responsibility to inform the Club directly of any changes to the details / circumstances recorded on this form. I also confirm that we have read and agree to the Club Code of Conduct. By selecting "I consent" below, I agree with the above.

Photo Consent*

We wish to promote positive images of young people playing football for Reigate Football Club. I give the Club permission to use images in newsletters, newspapers (U12 and above only), the Club’s website etc. promoting and celebrating the activities of the Club. Please give 7 days’ notice if you wish any image to be removed from the website.

Data Consent*

I consent to the information I have provided on this form being used in accordance with the Club Privacy Policy.

Covid-19 Consent*

By consenting under this section, you are confirming that you have read and understood the activities being offered to your child and agree with the measures the club has put in place to manage any risks, including its Covid-19 measures in line with current Government guidance.

A copy of the club’s risk assessment/management documentation can be found on the Club website at this link. If your child has any specific medical conditions, please ensure that you discuss these with the club welfare officer and or coach and agree the best way to support your child’s needs e.g. you staying to watch nearby and taking responsibility to administer the medication. If your child has had Covid-19, or symptoms for more than seven days, you must seek medical approval from your family doctor before they can restart any football activity. If you wish to withdraw consent to your child participating in any or all activities, please notify the team coach in advance, or as soon as possible.

Name of Parent Providing Consent*

First Last

Name

This field is for validation purposes and should be left unchanged.

Join RFC / 2021 – 2022 Season

Adult One - Contact Details

Adult Two - Contact Details