Wareham Rangers Junior Section and the Dorset FA require all children to be registered with a club to cover the insurance
liability for the child and our club.
Should injury occur during football sessions, contact numbers can be accessed and parents notified.
Below is a form, which all parents should fill out for each person that attends Wareham Rangers Junior Football Club and
returned to your age group manager.

The signing-on fee for each player will be £20.00 (Please make cheques payable to Wareham Rangers Youth F.C.). Match fees for all age groups will be £2 per game, with the exception of the Under 7s age group, which will be £1 per game.

Should this form and remittance not be handed to the manager by September 30th 2010, the player will not be eligible to play /
train as part of any Wareham Rangers team.

The signing-on fee will cover insurance for all training sessions and DCFA league matches. Throughout the season the club will try and stage events where concessions will also be given to club members.

- - - - - - - - " - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

WAREHAM RANGERS J.F.C. REGISTRATION FORM (Season 2010-2011)

PLAYERS FIRST NAME …………………….………….……… PLAYERS SURNAME …………………………………….…………..

DATE OF BIRTH ……….…. / …….…... / …….…….

PARENTS FORENAMES ………………………………………………..…………………………………………………………………….

ADDRESS …………………………………………………………..………………………………………………………….………………..

………………………………………………………………………..…………………………….…… POSTCODE ………………………..

TELEPHONE NUMBER HOME ……………….……………………..……………… MOBILE …………...……………………………….

EMAIL ADDRESS ……………………………………………………………………………..………………………………………………..

ANY OTHER CONTACT NUMBERS ……………………………………………………..………………………………………………….

CHILDS SCHOOL YEAR FOR 2010-2011 SEASON: YEAR ………..…….…. UNDER …………...…….

PARENTS CONSENT SIGNATURE TO ALLOW INDIVIDUAL TO JOIN WAREHAM RANGERS YOUTH FOOTBALL CLUB

…………………………………………………………………………………..…………………………………………………………………

PARENTS CONSENT TO, AT TIMES WITH PRIOR AGREEMENT, TO TAKE PICTURES AT

MATCHES AND PUBLISH ON WEBSITE, BUT WITHOUT NAMES

……………………………………………………………………………..………………………………………………………………………

ANY MEDICAL CONDITION THAT THE CLUB SHOULD BE AWARE OF
(information will be treated in the strictest of confidence and only disclosed in cases of emergencies).
……………………………………………………………………………………………………………………..………………………………