England Talent Day - Player Registration Form

Date: 17th November 2018 Venue: Gloucestershire FA, Bristol, BS32 4AG Time: 12:00 - 14:00 Cost: FREE Age Group: 7-16 years old

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Please outline any medical conditions. If there aren't any, please state none.

By adding YES in the below box I agree to allow the afore mentioned player to participate in the relevant Football Association Talent Pathway activities for Season 2018-19:

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By adding YES in the below box I agree to allow, in the event of an injury, for the afore mentioned player to receive immediate treatment as deemed necessary by a qualified First Aider, Physiotherapist or Medical Practitioner:

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By adding YES in the below box I acknowledge that The FA may collect information in relation to the player and his/her parents/guardians to enable The FA to: • effectively administer all matters related to the running of the programme; • ensure the wellbeing of the player; • ensure the compliance by the player and his or her parents/guardians with the rules of The FA Talent Pathway Programme; and release information to third parties (where necessary) in connection with the administration of the programme, the wellbeing of the player and to ensure compliance by the player and his or her parents/guardians with the rules of The FA Talent Pathway Programme.

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By adding YES in the below I agree to follow the guidance in the FA Code of Conduct for players, parent and guardians.

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