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Scotland Boys Club Enrolment Form
* Denotes Required Information
Player's Name
*
Player's Date of Birth
*
E-Mail Address:
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MEDICAL
Medical history to be aware of (will be kept confidential and only shown to medical staff should the need arise)
Player's Doctor
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Name and Address of Surgery (including postcode):
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Surgery Telephone Number
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Any allergies (say 'none' if none)
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Medicines the child may need to take to training / games (say ‘none’ if ‘none’) Parents should give supplies of medicines required to Coaches with detailed instructions as to their use.
Does the child use glasses when playing/training?
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Yes
No
If yes, does he/she have safety glasses?
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Yes
No
CONSENTS REQUIRED
Travel & Medical - I being the parent/guardian hereby give my consent for the player to travel with Scotland Boys Club (Academy of Football) on any authorised Club Activities as and when selected. I also give permission to the relevant official of Scotland Boys Club (Academy of Football) to make such emergency decisions as necessary with regard to the treatment of any medical condition or injury received during any activity until such times as I can be contacted. I authorise them to sign any medical documents necessary for the emergency treatment of the player should the need arise and I am unable to be contacted immediately (i.e anaesthetics etc).
*
Swimming - I being the Parent/Guardian hereby instruct as follows for my child to bathe or take part in any swimming activities (If you do not give your permission your child will not be allowed to take part in any swimming activity.) - I give my permission:
Swimming - My child is:
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A swimmer
Non swimmer
Photography - I being the parent/guardian give my permission for my child to have his photograph taken as part of any individual or team photographs and for these photographs to be used and reproduced by Scotland Boys Club (Academy of Football) in such a manner as they deem appropriate. Typical examples would be Club Newsletters. National and Local Newspapers and our WEB site. Usage will be in line with any guidelines with the SYFA Player Protection Policy or policy of the Scottish Football Association.
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DECLARATION
Declaration - I being the parent/guardian am enrolling my child in the Scotland Boys Club (Academy of Football). I agree to buy and/or update the kit as required and abide by the Constitution of this Academy and will ensure to the best of my ability that my child adheres to its Code of Conduct. I also agree to abide by our Parent’s Charter regarding conduct.
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Enter Anti-Spam code from above in box below
*