Document Sample
Membership Application Form for 2009/10 Season

Player’s details (please print)                            Membership Number:_____ _______
Surname                                                    First name
Date of birth                                              Age group Under
                                                                                Post code

Parents’ /Guardians’ details (please print)
Name 1                                                  Name 2
                                                        Phone Home
Phone   Home                                                  (If different)

        Mobile                                                  Mobile
Email 1                                                  Email 2

                                                 Membership fees

   The fees shown opposite are correct for the start               Under 7 & 8       £80
    of the 2009/10 season and are inclusive of all                  Under 9 & 10      £110
    Training and match day fees.                                    Under 11 +        £115
   If you are applying for membership after the                    Details of payment options can be
    start of the 2009/10 season please ask your                      found in the HUYFC Handbook on our
    son/daughter’s team manager for the latest                       website ‘’
    information regarding membership fees.
   If a player leaves part way through the season,
    membership fees will be refunded on a sliding

Please complete the following section giving details were applicable:
Unless stated below I confirm there is no health or other matters concerning the player that may require special
attention whilst the player is under the supervision of the club officials.

Medical/Other details

In signing this form I confirm my agreement to the terms and conditions indicated on the reverse of this form
I attach the sum of £______ in payment of the membership fee for the above named player
Cheque          Cash       S/O        Cheques preferred please, made payable to “HUYFC”
If the surname on the cheque differs to that of the player's surname please indicate the name on the

Parent /Guardian (Signed)                                                      Date
                   Terms and conditions of membership

The parent/guardian accepts that there are risks associated with both playing and
training for football and that neither Hook United Youth FC, its office bearers or
volunteers will be held liable for any injuries incurred. They also understand that
Hook United Youth FC does not carry insurance for its members.

The parent/guardian will ensure that their child wears shin pads for both training
sessions and matches.

The parent/guardian acknowledge that Hook United Youth FC has a 'NO jewellery
whilst playing' policy and will ensure that their child removes ALL jewellery before
training and match play.

The parent/guardian confirms that they have received and familiarised themselves
with the contents of the HUYFC member's pack including codes of conduct for
players, managers and parents (available on the website at and
agree to ensure that the member they are signing for and his/her immediate family
will be bound by and will observe at all times, the HUYFC codes of conducts and
guidelines it contains. The parent/guardian accepts that failure to do so will result in
termination of membership.

The parent/guardian confirms that they will undertake to ensure that all visitors
attending matches at their invitation will be made aware of the supporters' code
and asked to observe it.

The parent / guardian also acknowledge that all children under the age of 16 must
be dropped off and collected from training and matches by a responsible adult.

At times the Club may wish to take photos or videos of the team or individuals in it.
We adhere to The FA Guidelines to ensure these are safe and respectful and used
solely for the purposes for which they are intended, which is promotion and
celebration of the activities of the Club and for training purposes.