BTFC Player Development Academy - New & Existing player registration form - age groups U12 to U18 + Ladies Team

Please do not complete and submit this form unless your child has attended the trials and been accepted in to a team. You will need a squad number and a password to pay and submit form. Thank you BTFC

U12 to U18 + Ladies Team

Should you have any issues using this form please contact Mike on mike@brackleytownfc.co.uk.  Please do not contact/email anyone else as this will be your quickest way to get an answer to your problem

Private & Confidential
Personal Details
Please input players name

Please select age group U12s, U13s, U14s, U15s, U16s, U17's, U18s + Ladies Team

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Please enter below the squad number you have been given, if you do not have a squad number please email football@brackleytownfc.co.uk to request one

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Please specify your email address.
Education
Please specify your childs name.
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Please specify school landline phone number, no spaces
Contact Details

Please provide the details of two people who we can contact if required, one of which must be a parent/guardian.

Primary Contact

Please specify your name
Please specify relationship to child
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Please specify land line phone number, no spaces
Please specify mobile phone number, no spaces
Please specify email address.

Other Contact

Please specify your name
Please specify your relationship to child
Please specify land line phone number, no spaces
Please specify mobile phone number, no spaces
Please specify email address.
Medical Details
Please specify your doctors name
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Please specify doctors land line number, no spaces
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If yes, please provide details of the condition for which the player is taking medication, if none state 'None'

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If yes, please provide details, if none please state 'None'

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If yes, please provide details, if none please state 'None'

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Disclosure

• Player - I agree to abide by the Rules and Codes of Conduct of Brackley Town Football Club, the league, and the FA

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• Parent/Guardian - I agree to abide by the Rules and Codes of Conduct of Brackley Town Football Club, the league, and the FA

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• Parent/Guardian - I give my permission for any appropriate medical treatment to be carried out

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• Parent/Guardian - I agee that photos or video may be taken whilst the above named player is taking part in any club or league organised activity

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If player is a new player and they were not registered with BTFC for the 2017/2018 season you will need to attach the following documents after selecting 'New player to BTFC' if not select 'Player was registered for the 2017/18 season'
  • Birth Certificate
  • Players Image
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File formats: png, jpeg, jpg, doc, docx, pdf. Maximum file upload size 1000KB. That basicaly means an Image, PDF or Word Document no more than 1000kb in size.
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Total to pay
£0.00
Finally to complete registration you must enter the password you have been given and accept our Terms & Conditions

Terms & Conditions - Please read our terms & conditions here and tick box below to confirm acceptance

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Items marked with an * are required.

Once form is completed click on 'Confirm and pay for my order' below and you will be taken to 'PayPal' where you can pay through 'PayPal' or by Debit/Credit Card.

You will receive an automated email confirming your purchase

Attached to the confirmation email will be a welcome letter and an invoice for registration fee and subscription

Thank you for your support BTFC

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