Player Registration — Western Warriors FC

Parent / Guardian Details

First name *

Last name *

Relationship to player *

Parent Guardian Self Other

Mobile number *

Email *

Emergency Contact

First name *

Last name *

Phone *

Consent

* I consent to the player(s) above participating in training and trial matches with Western Warriors FC. I understand that, as with any sport, there is a risk of injury, and I acknowledge the club and Mr. Jin's Soccer Academy hold insurance cover for registered activities. * I agree the player(s) will follow coach/official instructions and the club's code of conduct. I'm happy for photos/video of the player(s) to be used on club social media. (optional)

Signature

Signing as * (your typed full name)

Draw your signature *

Use your finger or mouse to sign above

Parent / Guardian Details

Emergency Contact

Consent

Signature

Registration received

Training Location

Coaching