Application form - seniors

 
1 Start 2 Complete
Help us allocate your application by filling in the team name and your manager/coach if known.
Player's full name
DOB
Please enter your full address and postcode
Mobile or landline
Please upload a photo of any legal document bearing your date of birth.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png bmp pict pdf doc docx ppt pptx.
Please upload a head and shoulders photo of yourself.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png bmp pict pdf doc docx ppt pptx.
Please tick this box if you are a full time university/college student
Medical Information (i.e Asthma/ epilepsy, nut allergy/ heart condition) we need to be aware of. This is a required field. If none please type in None.
Please provide a key contact in case of emergency. Name and telephone number required.
Please provide a key contact in case of emergency. Name and telephone number required.
Please enter your GP surgery address and phone number.
The club has agreed for season 2021/22 the player membership fees shall remain £200.00 (with a discount of £20 if paid in full up front). Any hire of school/astro facilities for training purposes, fines incurred & tournaments will be extra and chargeable.  Online payment is preferred. To be paid upon receipt of invoice or by standing order. Cheque/Cash by arrangement with coach. Registration will not take place until full payment or a payment plan is in place.  The club reserves the right to withdraw players who fail to pay subscriptions. Please indicate how you wish to pay. Thirsk Falcons FC 20 - 59 - 43 40822582
Code of Conduct – Player, FA rules and Discipline I / We have read and understood Thirsk Falcons FC code of conduct and agree to the rules entailed within. Codes of Conduct can be found on the website. Membership fees not paid in full or via instalments could result in players being precluded from participating in coaching sessions and/or football matches representing the Club. I / We agree to be bound by and to observe the club rules and regulations of the Football Association Ltd and the Football Association and all competitions in which the club participates. I / We agree to reimburse Thirsk Falcons FC any disciplinary fines imposed by North Riding County FA, North Riding league, Hambleton League or Harrogate Leagues (Red / Yellow or Misconduct offences) and consent to disclosure by North Riding County FA. Outstanding fines will be transferred to the FA and this may affect your ability to play for the club. I / We agree that all match day playing kits are the property of Thirsk Falcons FC and will be returned at the request of the club.
Digital signature of player
Date