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Beckton Cats YFC : Registration 23/24 - Medical Details, Equality and Diversity, Media Consent Form, and Code of Conduct .

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Registration		Medical Details		Equality and Diversity		Media Consent

Please upload copy of passport/birth certificate
N/A
Upload file Capture image using webcam
you can make a photo an upload it
Please Upload a photo of the player (ONLY FACE)
N/A
Upload file Capture image using webcam
you can use your camera to make the photo, however, try not use hats or sun glasses and only the face.
Name and Surname of the Player
N/A

Required First Required Last

Enter First name and Surname of the Player
Enter the Day of Birth of the player *
N/A

dd-MMM-yyyy

Which day the player was born.
Gender *
N/A
Nationality---Country of birth
N/A

Please indicate the kid nationality and country of birth
Would he/she plays Sunday's Matches for Beckton Cats YFC *
N/A

Tell us if the Player plays already for the Team or is only training at the moment with them.
Could you tell us which age group/team name *
N/A

Please let us know which group is the Player with.
Please tell us the name of the manager if you know
N/A

Please enter the name of the team if you know and the name of the manager if you know.
Where the Player lives?: Address of the Player
N/A

Required Street Address Required City Required Postal / Zip Code
Name of School of the Player *
N/A

Enter the name of the School the Player is attending to.
School Year next Sept 2021/21: *
N/A

Please enter the School year:
Address of The School
N/A

Required Street Address Required City Required Postal / Zip Code
Complete at least one Parent/Guardian contact and an alternative emergency number.
Name of the Parent /Guardian ONE *
N/A

Please enter the person to contact in emergency
DAY OF BIRTH OF THE PARENT requested by FA *
N/A

dd-MMM-yyyy

Please enter the parent DOB, would be necessary for the FA consent form.
Phone Number ONE *
N/A
Email of the Parents/Guardian ONE (REQUIRED BY THE FA) *
N/A

Please provide with an email for the FA registration
Name of the Parent /Guardian TWO
N/A

Please enter the person to contact in emergency
Phone Number TWO
N/A
Email of the Parent/Guardian TWO
N/A
Other Emergency Contact Name
N/A

In the event that the above named persons cannot be reached, please give an extra emergency contact name and number
How is the emergency contact person related to the Player
N/A

Who is the person we will contact in case Parents/Guardians are not available?
Phone
N/A
Email of the Emergency contact:
N/A

Medical Consent Form
Medical Details *
N/A

Please indicate if you have any medical conditions we should be aware of, e.g. asthma, if none, please state it.
Enter Details of the GP/Doctor or speacialist we should conatct in case we need to.
N/A

Please tell us name/ address/Phone number of the any person you wish us to know about.
Parental Consent In the event that my son/daughter is injured whilst playing football/travelling to and from football events and I cannot be contacted, I hereby give my consent for my child to receive medical attention. *
N/A

Please enter your name as you agree with the above statement. Either wise please let us know.
Please enter the name and surname at least of one parent/guardian giving consent to practice sports
Name of the Parent/Guardian ONE
N/A

Required First Required Last
Name of the Parent/Guardian TWO
N/A

First Last
Date of the signature *
N/A

dd-MMM-yyyy
N/A

Please Tick the box as you have read and understand the above statement. You are responsible to tell us any change in the future. Check with your GP/Doctor to make sure The player you are responsible for, is apt to practice physical sport * Please Tick the box as you have read and understand the above statement. You are responsible to tell us any change in the future. Check with your GP/Doctor to make sure The player you are responsible for, is apt to practice physical sport Required

Please make sure you have told us about any medical condition and the player is apt to train and play football

Equality Monitoring Form

Beckton Cats YFC believe in Equality and Diversity, please let us know about you.
Please indicate your ethnic background, leave blank if you want to.
N/A

eg. White, Mixed, Asian..other
Disability: Do you consider (The player) disable?
N/A
If you have indicated yes, please tell us about.
N/A
Religion: Please tell us about your religion if you do not want to disclose please leave blank.
N/A
Please tell us anything we should know and we did not ask you.
N/A

Beckton Cats YFC Media Permission (WE DO NOT LINK PHOTOS WITH NAMES OR PUBLISH ANY PERSONAL DETAILS)

Consent to use a player’s image if it is to be used in the public domain. Please contact us/let us know below if you are concern about this and would like to have a meeting to discuss the use of the images.
Photographs may be taken at training and matches for Beckton Cats YFC public website and newsletter as well as other publications and also social media Facebook/ Twitter/ Instagram
Film clips may also be taken which will be used to create Beckton Cats YFC promotional material which may also be shared on public social media sites such as YouTube.
For more information about Beckton Cats YFC social media guidance visit : http://www.essexfa.com/about/rules-and-regulations/safeguarding-and-welfare/social-media-guidance
You may give ONLY permission for a TEAM PHOTO. Please choose below your option.
Please enter at least one of the Parent/Guardian giving or not permission.
Name of the Parent/Guardian ONE
N/A

Required First Required Last
Name of the Parent/Guardian TWO
N/A

First Last
Please use the space below to tell us anything we should know about the Media concern and we did not ask and/or we should know about it.
N/A
By ticking/signing the box you acknowledge that permission/consent has been sort and you understand that the image of the player may be use in the public domain. *
N/A

Tell us if you give or not consent or prefer only give permision for a team photo
Date of the signature. *
N/A

dd-MMM-yyyy
Respect Code of Conduct

Spectators and Parents/Carers
Respect Code of Conduct

Spectators and Parents/Carers

We all have a responsibility to promote high standards of behaviour in the game

This club is supporting The FA’s Respect programme to ensure football can be enjoyed in a safe, positive environment.

Remember children’s football is a time for them to develop their technical, physical, tactical and social skills. Winning isn’t everything.

Play your part and observe The FA’s Respect Code of Conduct for spectators and parents/carers at all times.

I will:

•   Remember that children play for FUN

•   Applaud effort and good play as well as success

•   Always respect the match officials’ decisions

•   Remain outside the field of play and within the Designated Spectators’ Area (where provided)

•   Let the coach do their job and not confuse the players by telling them what to do

•   Encourage the players to respect the opposition, referee and match officials

•   Avoid criticising a player for making a mistake – mistakes are part of learning

•   Never engage in, or tolerate, offensive, insulting, or abusive language or behaviour.

I understand that if I do not follow the Code, any/all of the following actions may be taken by my club, County FA, league or The FA

I may be:

•   Issued with a verbal warning from a club or league official

•   Required to meet with the club, league or County FA Welfare Officer

•   Required to meet with the club committee

•   Obliged to undertake an FA education course

•   Obliged to leave the match venue by the club

•   Requested by the club not to attend future games

•   Suspended or have my club membership removed

•   Required to leave the club along with any dependents.

In addition:

•   The FA/County FA could impose a fine and/ or suspension on the club.
N/A

Please Tick the box as you have read, understand, and agree to the above code of conduct * Please Tick the box as you have read, understand, and agree to the above code of conduct Required

Contact us if you would like more information about the Club Code of Conduct.
N/A

Please Tick the box as you have read, understand, and agree to the above code of conduct * Please Tick the box as you have read, understand, and agree to the above code of conduct Required

Contact us if you would like more information about the Club Code of Conduct.
N/A

Finally, please tick the box if I agree for your kid (you have filled the form for) to play and be registered for Beckton Cats YFC * Finally, please tick the box if I agree for your kid (you have filled the form for) to play and be registered for Beckton Cats YFC Required

please tick the box to confirm consent of you kid playing for us next season and understand all process, and you are happy with it.
Please Add any file or document do you may think we need to know
N/A
Upload file
Here if you need to send us nay information that we did not ask and you think is relevant.

Do not submit confidential information such as credit card details, mobile and ATM PINs, OTPs, account passwords, etc.Report Abuse

Beckton Cats YFC : Registration 23/24 - Medical Details, Equality and Diversity, Media Consent Form, and Code of Conduct .

Complete at least one Parent/Guardian contact and an alternative emergency number.

Medical Consent Form

Please enter the name and surname at least of one parent/guardian giving consent to practice sports

Equality Monitoring Form

Beckton Cats YFC Media Permission (WE DO NOT LINK PHOTOS WITH NAMES OR PUBLISH ANY PERSONAL DETAILS)

Photographs may be taken at training and matches for Beckton Cats YFC public website and newsletter as well as other publications and also social media Facebook/ Twitter/ Instagram

Film clips may also be taken which will be used to create Beckton Cats YFC promotional material which may also be shared on public social media sites such as YouTube.

For more information about Beckton Cats YFC social media guidance visit : http://www.essexfa.com/about/rules-and-regulations/safeguarding-and-welfare/social-media-guidance

You may give ONLY permission for a TEAM PHOTO. Please choose below your option.

Please enter at least one of the Parent/Guardian giving or not permission.

Respect Code of Conduct

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