Alpha United Juniors Registration Form What Year Is Your Child In ?(Required)ReceptionSchool Year 1School Year 2School Year 3School Year 4School Year 5School Year 6School Year 7School Year 8School Year 9School Year 10School Year 11Unique IDChild’s Name(Required) First Last Child’s DOB(Required) Day Month Year Child’s Age(Required)Parent/ Guardian’s Name(Required) First Last Parents/ Guardian’s DOB(Required) Day Month Year Parents/ Guardian’s Email Address(Required) Parent/ Guardian’s Mobile(Required)Home Address(Required) Street Address Address Line 2 City Region Post Code Does your child have any known health issues?(Required) Yes No Please specifyUpload 1 photo of the child’s passport.(Required) Drop files here or Select files Accepted file types: jpg, png, bmp, jpeg, Max. file size: 12 MB, Max. files: 2. This is used for age verification for FA - Football Association. Do you need a training t-shirt ? Yes £10.50 No Thank You Select Size(Required)Kid Size 4Kid Size 6Kid Size 8Kid Size 10Kid Size 12Kid Size 14Adult SmallAdult MediumAdult LargeAdult Extra LargeAdditional Child Child’s Name What Year Is Your Child In ? Unique ID Actions Edit Delete There are no Entries. Add Additional Child Maximum number of entries reached. Monthly Membership Subscription Price: £ 0.00 T-Shirt Fee Price: £ 0.00 Do you have a coupon code ? Total Credit Card(Required) It is the parent/guardians responsibility to ensure their junior is dressed accordingly for sessions (e.g. layers when it is cold/wet). Furthermore, do not send your junior to sessions if they are ill, have cold/flu/cough or a high temperature. As part of registering you hereby give consent for the club to use photographic images and videos for marketing purposes such as social media. Furthermore, you give consent for the club to administer First aid & emergency medical aid as required. As part of registering you accept that you have read and agree with the club constitution, child protection policy, equality policy, code of conduct for players/coaches/parents and spectators. Any of these documents can be requested via email at info@alphaunitedjuniors.com JOIN ALPHA UNITED JUNIORS TODAY and embark on an extraordinary football journey filled with growth, excitement, and lifelong memories. First Name Last Name Email Address Message Submit CONTACT US Info@alpahunitedjuniors.com 07930 119 327