Youth Player Registration Form - Kensington Dragons FC

To register, please complete and submit this form before clicking "Submit" at the bottom of this page.

Player Details

Age Group:

First Name: Last Name:

Date of Birth:

Address Line 1:

Address Line 2:

City: Postcode:

Mobile Number: Landline Number:

Email:

Allergies, Medical Conditions or Disability (please list any):

School Name: School Year:

1st Parent/Carer Details

First Name: Last Name:

Mobile Number: Landline Number:

Email:

2nd Parent/Carer Details (optional)

First Name: Last Name:

Mobile Number: Landline Number:

Email:

You are responsible for your child traveling to and from Club activities.

If you decide to allow your child to accept a lift from another parent, carer, coach or manager you do so at your own risk. The Club will on occasion assist with making practical travel arrangements but does not accept responsibility in so doing.

Communications

By completing this form, you are consenting to receiving communications from the Club. You can withdraw your consent at any time by emailing honsec@kensingtondragons.com. We will not pass your details onto anyone else.

Application

Parent/Carer:
I/We have read and agree to abide by the Parents’ Code of Conduct (here). I/We hereby apply for the above-named person to be a member of Kensington Dragons FC. I/We agree to their participation in the activities of the Club and to abide by the Club rules, as administered by the Committee. In the event of serious injury, and subject to attempts to contact the parents/carers, I/we agree to the above member receiving emergency medical treatment deemed necessary by club personnel present. I/We also hereby indemnify the Club against any liability for injury, loss or damage sustained in connection with the Club’s activities.

Player:
I have read and agree to abide by the Player’s Code of Conduct (here). I understand that if I am booked during a match, the Committee may request that I pay the resulting fine.