Registration
Select registrationDevelopment Centre TrialsMini SoccerHoliday Soccer CampsWildcats Girls' Football

Child's First Name

Child's Surname

Age

Date of Birth

Gender
Select GenderMaleFemale

School

Parent/Guardian Full Name

Address line 1

Address line 2

Town/City

Postcode

Home Phone

Mobile

Your Email

Medical information

Emergency Parent Carer Full name

Emergency Parent Carer relationship to child

Emergency Parent Carer daytime phone

Emergency Parent Carer Mobile

Parental Consent:
i – I agree for my son/daughter to take part in the activities at MBFDC and where applicable, I give permission for them to travel to events/fixtures/festivals on the travel provision provided.
ii – I acknowledge the need for him/her to behave responsibly at all times.
iii - I understand that staff responsible will take all reasonable care of the participants and I will not hold them responsible for any accidents that may occur.

iv - I consent to any emergency treatment deemed necessary by appropriate staff or hospital authorities.
v - I give permission for MBFDC to use photographs/video footage/quotes from my son/daughter for promotional purposes.

Check here if you accept these terms.