Whitley Wolves Junior Football Club

Player Registration 2011/2012.

Please complete the following information in BLACK ink and BLOCK capitals.

ALL THE DETAILS BELOW ARE REQUIRED.

Team Coach(es):
___________________________________________________________________________
Players Name:
___________________________________________________________________________
Players Address:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Post Code: ______________________
Players Age: _____________________ Date of Birth: ______/________/________.

Home Contact Number (Including area code): ______________________________________

Mobile Contact Number(s): ____________________________________________________
Contact Email Address: ________________________________________________________

School: ___________________________. Year at School: YEAR _______

Previous Football Clubs:

___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

Parent/Guardian Signature:
____________________________________________ Date: ________________________

-----------------------------------------------------------------------------------
Please
Coaches/Club Use Only:
Insert
SQUAD NUMBER: _________________
Recent

1. Code of Conduct (player) Complete: YES // NO Photograph

2. Code of Conduct (parent) Complete: YES // NO
Here
3. League Registration Form Complete: YES // NO

Child Welfare Officer: ________________________________ Date: ___________________

Team Coach: ________________________________________ Date: ___________________

Whitley Wolves JFC is an Official FA Charter Standard Club.

Website: www.whitleywolves.org.