Development Centre Registration

Please note that you only need to register your child ONCE. If you are looking to buy further sessions, having already registered your child, then please go to the store

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– Step 1 of 3

We need to record the player's details (Please note, the Development Centre is for children currently attending Reception or Year 1 school)

Player's Name *

First

Last

Address *

Post Code *

can Number Club

Player's Date of Birth *

DD/MM/YYYY

Player's School *

Player's School Year (starting September 2026) *

• Reception
• Year 1

Player's Medical Details

Please indicate if your child has any medical conditions (including any medication) we should be aware of e.g. Asthma (inhaler)

Does the Player have any Medical Conditions? *

• Yes
• No

Player's Medical Condition/s *

Please list all conditions

Next

We need to record the Parent/Carer/ Guardian details (this will be used as emergency contact details)

Parent/Guardian/Carer's Name *

First

Last

Your Relationship to Player *

Parent/Guardian/Carer's Contact Telephone Number *

Parent/Guardian/Carer's Email *

In the event that the above named person cannot be reached, please provide additional emergency contact names

Do you have a second contact person if the above named person cannot be reached? *Please SelectYesNo

Name of second Emergency Contact Person *

First

Last

Relationship to Player *

Second Emergency Contact Number *

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Confirmation

I accept that any details provided on this registration can be used to meet the requirements of the English Football Association and its representative County Association whose systems comply with the General Data Protection Regulations. *

• Yes

In the event that my child is injured and I or any other emergency contact provided cannot be contacted I give my consent for my child to receive any medical attention deemed necessary.

• Yes

I accept that photographs of my child can be taken and used by the Club or its representatives on any social media or literature: *

• Yes
• No

Please read the Player Code of Conduct!

Please read the Parent/Guardian Code of Conduct!

I have read the Clubs Codes of Conduct and will ensure that I, my family and supporters abide by these at all times: *

• Yes

I understand that this information will not be shared with any third party (other than third party coaches or coaching companies approved by the Club) without my specific permission. *

• Yes

I am happy to be added to the Development Centre WhatsApp Group so I can be informed of urgent issues *

• Yes
• No

By submitting this registration form you are confirming that the information contained herein is correct and that you have read and understood the conditions stated and that you are allowing the Club to register to participate in Barton Rovers FC Development Centre activities

Lastly, where did you hear about our Development Centre? *

• Word of mouth
• Social Media (Facebook, Instagram)
• Web Search
• Other

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