Eynesbury Eagles Football and Netball Club

Participant Details

Full Name *

Date of Birth *

Address *

Training Top Size *Please note these tops are custom printed per participant there will be no exchange options. *

Parent/Guardian Details

Full Name *

Relationship to Participant *

Phone Number *

Email Address *

Emergency Contact (If different from above)

Full Name

Phone Number

Relationship

Medical Information

Known Medical Conditions *

Allergies (Including medication/food) *

Regular Medications *

Additional Support Needs

Programme Details

Playing Experience *

Preferred Playing Position (Optional)

Parent/Guardian Permissions

Photography & Media consent I consent to my child being photographed or filmed during club activities for use in club communications, social media, and promotional materials. *

Medical Treatment Consent In the event of an emergency, I authorise Eynesbury Eagles staff/volunteers to seek appropriate medical assistance for my child. *

Code of Conduct Agreement I acknowledge that my child and I will follow the Eynesbury Eagles Code of Conduct and uphold the values of respect, teamwork, and fair play. *

Parent / Guardian Declaration
By clicking "Send" below, I confirm that the information provided is accurate and that I understand the expectations of participation in the Eynesbury Eagles Girls Youth Football Programme.

Enquiry

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