North London Shamrocks Youth Registration Form

Please print out and complete this form and return it in a sealed envelope with payment by cheque (pay north london shamrocks youth) or cash, copy of identity and 2 passport sized pictures (if not previously done)

 

Players Name________________________________________________________

 

Address ____________________________________________________________

 

Player Date of birth  _____________________________  Age _________________

 

Parent / Guardian 1. Name _____________________________________________

 

Mobile Tel:____________________________ Home Tel ______________________

 

Parent / Guardian 2. Name _____________________________________________

 

Mobile Tel:____________________________ Home Tel ______________________

 

Which of the above Parents / Guardian will be club  member  : _________________

 

Email/s  (PRINT)   _______________________        _______________________

 

Has the youth player named above any medical condition that may affect their ability to participate in GAA sports? Please give details.

___________________________________________________________________

 

Do you agree in “emergency medical situation” that an appropriately registered screened club mentor /coach can apply first aid to the above named youth player or escort them to hospital if appropriate ? ____________________________________

 

Players may be photographed or filmed for coaching purposes or as part of match / training coverage for media use. Such photographs / video will adhere to the GAA child protection guidelines for use of images. Do you give your consent for the above named player to be part of photographs/video as described ? __________________

 

Information on team training, fixtures or club news will be sent to you via individual or group emails / texts. Do you agree to accept these forms of communication ?______

 

Do you give consent for this player to be included in the GAA online registration system _____________________________________________________________

 

Are you available to help with coaching sometimes ?_______   Who is ? _________