Player Information Form

FULL PLAYER NAME

CENTRE LOCATION

Barnsley
Manchester

DSC ELITE SESSION

Monday Game Related
Tuesday Technical Girls
Tuesday Technical U15-U16
Wednesday Team Training
Friday Technical
One-2-One Session

DATE OF BIRTH

ADDRESS

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

FIRST CONTACT NAME

RELATIONSHIP TO CHILD

FIRST CONTACT MOBILE NUMBER

FIRST CONTACT EMAIL ADDRESS

SECOND CONTACT NAME

RELATIONSHIP TO CHILD

SECOND CONTACT MOBILE NUMBER

SECOND CONTACT EMAIL ADDRESS

MEDICAL CONDITIONS, ALLERGIES OR DISABILITIES (e.g. asthma, epilepsy, allergies, dyspraxia etc)

By submitting this form I confirm that the player named above will have a parent or other responsible adult instantly accessible to administer any medication, such as an inhaler, EpiPen or any other medication.

By submitting below, you will be agreeing to the following:

All information provided above is correct at the date of submitting.
If any information changes (medical, contact details etc), you will instantly inform DSC.
In the event of my child becoming injured or ill whilst participating at DSC Elite Football Academy, I hereby give my consent for my child to receive medical attention.

This form therefore will constitute for verifiable parental consent (gives your consent as parents) for DSC Elite Football Academy Ltd to provide personal identifying information for your child that, may consist of first name, last name, birth date, and, if applicable, email, address, telephone number and medical information in order to attend sessions/fixtures or for DSC Elite Football Academy Ltd to incorporate your child in any internal or external marketing.

Permission

From time to time DSC Elite Football Academy Ltd may use player photos for marketing and publicity purposes. We will only use photos or films of your child for such purposes if you have completed this form. Once agreed to, the permissions will remain in effect for the duration of the player’s enrolment at DSC Elite Football Academy Ltd unless parental permission is withdrawn in writing.

You may withdraw your consent at any time. If you wish to do so please contact us at the details below. On receipt of such a notification we will remove any images from our websites/facebook page etc. Please note that if you have consented to the use of photos in DSC Elite Football Academy Ltd flyers / leaflets etc, we will not be able to remove these images from any documents that have already been printed.

The Company Director, Chris Beckley, is responsible for ensuring that DSC Elite Football Academy Ltd complies with the Data Protection Law. He can be contacted on info@dscelitefootball.co.uk or 07961755941.

For further information regarding how DSC Elite Football Academy Ltd uses personal data please refer to the privacy notice on our website: http://dscelitefootball.co.uk/privacy-policy/.

1. PHOTOS

I do give permission
I do not give permission

to DSC Elite Football Academy Ltd using photos of my child for the following purposes

On the DSC Elite Football Academy website
In DSC marketing materials
On Social Media including Facebook, Instagram and Twitter
Press releases
All of the Above

2. SPORTING EVENTS

I do give permission
I do not give permission

to DSC Elite Football Academy Ltd sharing my child’s details with DSC staff during their time at DSC for Sporting events linked to DSC (e.g. fixtures).

3. PERSONAL INFORMATION

I do give permission
I do not give permission

to DSC Elite Football Academy Ltd sharing my child’s details including personal characteristics such as special educational needs and medical information as required during their time at DSC.

By submitting below, you will be agreeing to the following:

All information provided above is correct at the date of submitting.
If any information changes (medical, contact details etc), you will instantly inform DSC.

Player Information Form

Important Information

Permission

Download PAPER DOCUMENTS

info@www.dscelitefootball.co.uk

07501640252

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