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The FA Charter Standard. Club Programme. Membership Registration. Form. Full Name. Home Address. Post Code. Home Tel No (inc STD code). Date of Birth.
The FA Charter Standard Club Programme Membership Registration Form
Football Club Membership Registration Form
Medical Details
Please indicate if you have any medical conditions we should be aware of, e.g. asthma
Full Name Home Address
Post Code Home Tel No (inc STD code) Date of Birth Status (Please tick)
E-mail
Mr c
Mrs c
Ms c
Other c
First Name Surname
Signed
Emergency Telephone No Player Position (if applying as a playing member) Please tick Goalkeeper c
Defender c
Midfield c
Forward c
Mobile No E-mail
Non-Playing Skills Coach c
Administrator c
Fund-raiser c
Other c
In the event that the above named person cannot be reached, please give two extra emergency contact names and numbers
Education Details (if applicable) Name Headteacher
Emergency Contact No
PE Teacher School Address
Name Emergency Contact No Signed Print Date
County Post Code Current School Year Telephone No (STD Code) E-mail
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