HOOK UNITED YOUTH FOOTBALL CLUB Membership Application Form for 2009/10 Season Player’s details (please print) Membership Number:_____ _______ Surname First name Date of birth Age group Under Address 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 ‘www.huyfc.com’ information regarding membership fees. If a player leaves part way through the season, membership fees will be refunded on a sliding scale. 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 cheque: 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 www.huyfc.com) 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.