Thank you for signing up to our futsal league. Please fill out the information below to register the players on your team. Unforutnately without the information you will not be able to take part in the league. This information is for safeguarding purposes only.

Team Name

Manager's Name

First Name

Last Name

Manager's Email Address

Manager's Mobile Number

Player 1

Child's Name

First Name

Last Name

Parent/Carer Name

First Name

Last Name

Email Address

Mobile Number

Player 2

Child's Name

First Name

Last Name

Parent/Carer Name

First Name

Last Name

Email Address

Mobile Number

Player 3

Child's Name

First Name

Last Name

Parent/Carer Name

First Name

Last Name

Email Address

Mobile Number

Player 4

Child's Name

First Name

Last Name

Parent/Carer Name

First Name

Last Name

Email Address

Mobile Number

Player 5

Child's Name

First Name

Last Name

Parent/Carer Name

First Name

Last Name

Email Address

Mobile Number

Player 6

Child's Name

First Name

Last Name

Parent/Carer Name

First Name

Last Name

Email Address

Mobile Number

Player 7

Child's Name

First Name

Last Name

Parent/Carer Name

First Name

Last Name

Email Address

Mobile Number

Player 8

Child's Name

First Name

Last Name

Parent/Carer Name

First Name

Last Name

Email Address

Mobile Number

Player 9

Child's Name

First Name

Last Name

Parent/Carer Name

First Name

Last Name

Email Address

Mobile Number

Player 10

Child's Name

First Name

Last Name

Parent/Carer Name

First Name

Last Name

Email Address

Mobile Number

Any Medical Conditions?

Please provide details of all medical conditions any player within your team has that we need to be aware of.

Signature

Data Protection: Here at East Leeds Futsal we take your privacy seriously and will only use your personal information to provide the products and services you have requested from us. Please click below for our full Privacy Policy. http://www.thefutsalpartnership.com/privacypolicy-eastleeds However, from time to time we would like to contact you with details of other events and offers and with information such as newsletters and company updates. We will never pass your details on to any 3rd parties for marketing purposes. We may also, from time to time take photographs for marketing purposes, by ticking the box below you are providing your consent for us to do so. As the team's coach it is your responsibility to ensure you have the correct permission from the children's parents to provide all of the above information.

Signed

I can confirm that I agree with the above terms and conditions and by clicking Submit I am electronically signing to this.

I agree to the above statement