Junior Membership Form

Please only fill this form in if you have had contact with someone at the football club to confirm age group availability. You can contact us at: membership@southmoltonafc.co.uk

- South Molton Football Club
  
  Junior Membership Form 2022~2023 Season
- Age Group*
- FAN
- Hidden
  Manager's Name

- Child First Name:*
- Child Last Name:*
- Child's Date of Birth:*
  DD slash MM slash YYYY
- School Year*
- Name of Parent/Guardian :*
- Parent's Date of Birth*
  MM slash DD slash YYYY
- Home Address*
  Street Address Address Line 2 City State / Province / Region Postal code Country
- Home Phone No*
- Parent/Guardian's Mobile:*
- Parent/Guardian's Email(s):*
- If this membership for is for a child with a sibling registered and playing with SMAFC, please state their name and age group.
- Does your child have any known health needs? E.g. Diabetes, asthma, epilepsy, allergies.*
- If your child does have health needs, what does the Club need to do to keep your child well e.g. administer medication / call ambuance / give snacks?*
- Do Club volunteers need any medical training other than First Aid to care for your child?*
- PHOTOS At times the Club may wish to take photos or videos of the teams or the individuals in them. We adhere to The FA Guidelines to ensure these are safe and respectful and used solely for the purposes for which they are intended, ie promotion and celebration of the activities of the Club and for training purposes. The images may be published on the Club's website, Facebook Pages, YouTube Channel and in the local press, etc. Please tick yes if this is acceptable to you.*
  - Yes
  - No
- Please upload a player photo here (Head and shoulders only)*
- UPLOAD PLAYER PHOTOS HERE
  (Head and shoulders only)
  
  The FA and the Whole Games System require every player to be registered on their website with a passport style photo. A new photograph needs to be uploaded at the start of every season. The FA do not allow a player to play football without one.
  In the photo you must: be facing forwards and looking straight at the camera have a plain expression and mouth closed have eyes open and visible / no hair in front of eyes not have a head covering (unless it's for religious or medical reasons) not have anything covering your face.
- RESPECT and CODE OF CONDUCT
  We all have a responsibility to promote high standards of behaviour in the game. This club is supporting the FA's Respect programme to ensure football can be enjoyed in a safe, positive environment. Remember, children's football is a time for them to develop their technical, physical, tactical and social skills. Winning isn't everything!
  By submitting this form you are agreeing that you and your child have read, and will conform to, the Code of Conducts for Young Players and Parents/Guardians/Spectators which can be found in our club documents.
- PAYMENT / PLAYERS CONTRACT WITH THE CLUB
  By submitting this membership form, you are committing to paying the club's membership fees.
  Please refer to the membership pack regarding concessionary membership.
  
  Where we have received no payment by due dates or contact regarding payments, players cannot be registered and will not be able to continue training with the club or to play in matches.
- Parent / Guardian Consent*
  - Parent / Guardian Consent
- Date*
  DD slash MM slash YYYY
Choose plan*

A PLAYER WILL NOT BE REGISTERED UNTIL PAYMENT HAS BEEN MADE

SOUTH MOLTON AFC PARTNERS