fbpx

This form is to be completed by the parent/guardian before the academy begins. Parents/guardians are responsible for informing the club of any changes that may affect the childs ability to participate. Providing consent for your child to participate in the 2024 academy season confirms that you understand the activities being offered to your child and agree to comply with the measures that the club has put in place.

    Initial Details
    I agree to the club holding the health, medical and/or medication data I have provided below to ensure my child’s safety and to take appropriate action to ensure their wellbeing (tick box to agree, leave blank to disagree). I understand that I can withdraw my consent at any time, though this may result in my child being unable to participate in the club’s activities.

    Does your child have any known health needs? e.g. diabetes, asthma, epilepsy, allergies (tick as applicable):

    If yes, please complete the 'Current Medication' section below.
    Current Medication
    Communication
    Does your child have any communication needs e.g. non-English speaker/hearing impairment/sign language user/dyslexia. If yes please tell us what we need to do to enable him/her to communicate with us?
    Images and Footage

    At times throughout the season 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.

    Yes
    I confirm that my child is not subject to any family, care or legal proceedings which would impact the ability of the club to take photos or videos of my child and, if photos or videos were taken, that would not adversely affect the safety of my child.
    Yes
    I agree to the club being able to take photos and videos during this season of my child. I understand that I can withdraw my consent for this at any time during the season by notifying the club.
    Participation Dates

    Please tick the dates that you would like your child to participate. Please make sure to select the relevant slots for your childs age group.

    All age groups pertain to the current academic year that is concluding. Please note that this is not the academic year beginning in September 2024.

    Date / Group Aug 3rd Aug 10th Aug 17th Aug 24th
    10am: U5 (Reception) / U6 (Year 1) / U7 (Year 2)
    11am: U8 (Year 3) - U9 (Year 4)
    12pm: U10 (Year 5) - U12 (Year 7) Fully Booked Fully Booked Fully Booked Fully Booked
    13pm: FM Girls (5years to 14years) Fully Booked Fully Booked Fully Booked Fully Booked
    Permission of Parent or Carer

    I give permission for my child to participate in Futty Mania football club's events and agree to the conditions outlined above.

    Participate on all 4 days for £40 or £12 per session

    Please make your payment using the following bank details:

    Account Name: Futtymania

    Account Number: 67139868

    Sort Code: 010902