Youth Register 18s | Wingate & Finchley

Player's Full Name

Date of Birth

Address

School

Current School Year

Name

Relation

Phone

Name

Relation

Phone

Is this player seeing a doctor or receiving any medical treatment? If yes, please provide the details:

Does the player have any allergies? If yes, please provide details:

Is the player taking any medication? If yes, please provide details:

Upon signature below, you agree to paying:

and

And accepting in full the Terms and Conditions of the Club Constitution attached:

Parent's Signature

Thanks for submitting!