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Brackley Town FC 1 - 2 - 1 coaching registration

Brackley Town FC 1 - 2 - 1 coaching, all sessions will aim to improve children purely on an individual basis. Coaches will review each child and discuss their Strengths and Weaknesses in order to deliver detailed/specific sessions. 

Should you have any issues using this form please contact Mike on mike@brackleytownfc.co.uk  please do not contact/email anyone else this will be the your quickest way to get an answer to your problem

Private & Confidential
Personal Details
Please input players name
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Please specify your email address.
Contact Details

Please provide the details of two people who we can contact if required, one of which must be a parent/guardian.

Primary Contact

Please specify your name
Please specify relationship to child
Please specify land line phone number, no spaces
Please specify mobile phone number, no spaces
Please specify email address.

Other Contact

Please specify your name
Please specify your relationship to child
Please specify land line phone number, no spaces
Please specify mobile phone number, no spaces
Please specify email address.
Medical Details
Please specify your doctors name
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Please specify doctors land line number, no spaces
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If yes, please provide details of the condition for which the player is taking medication, if none state 'None'

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If yes, please provide details, if none please state 'None'

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If yes, please provide details, if none please stae 'None'

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Disclosure

• Parent/Guardian - I give my permission for any appropriate medical treatment to be carried out

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• Parent/Guardian - I agee that photos or video may be taken whilst the above named player is taking part in any club or league organised activity

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Finally to complete accept our Terms & Conditions

Terms & Conditions - Please read our terms & conditions here and tick box below to confirm acceptance

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Our Privacy & Data Protection Policy can be read here

Safegurading Policy - Please read our Safeguarding Policy here and tick box below to confirm acceptance

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You will be added to our mailing list

 

BTFC Newsletters keep you updated on what’s new at Brackley Town FC including:

Latest team news - Football in the community news - Saints Community project news - And more

These Newsletters will normally arrive in your inbox at most once a month unless we have some urgent news that we think you might be interested in. There is an unsubscribe link on all newsletters, so you can unsubscribe at any time

 

I confirm that I have read and agree to abide by the  -  BRACKLEY TOWN FC COVID-19 GUIDANCE FOR PARENTS OF JUNIOR PLAYERS  HERE

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Please confirm your acceptance by typing "Yes" in box below

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Items marked with an * are required.
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Once form completed click on 'Submit my registration for 1 - 2 -1 coaching sessions' below and you will be taken to 'PayPal' where you can pay through 'PayPal' or by Debit/Credit Card.

You will receive an automated email confirming your registration, attached to which will be a copy of our COVID19 guidance

Thank you for your support BTFC

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