Parent/Guardian Email *

Player Name *

Team

Player’s Date of Birth [DD/MM/YYYY] *

Player’s full address *

Player’s Contact Number (if applicable, optional) *

School & Year Group as of September 2026

Parent / Guardian’s Name *

Parent / Guardian’s Contact Number *

I accept the statement below *

All players receive GCFC team kit, which remains the property of the club and must be returned at the end of the season or when a player leaves. I give permission for my child to become a member of Garden City Football Club. I understand that GCFC Officers, Committee, Players and Supporters cannot be held responsible for any personal injury, loss or damage during club activities. Parents/Guardians must inform GCFC of any medical conditions that may affect their child’s ability to play and complete the attached Medical Form. I consent to my personal details being held by the club and shared on the FA’s Whole Game System and Full‑Time. I have read the Club’s Data Protection and Privacy Notice and understand I may withdraw consent at any time, and that my details will be deleted once I am no longer involved with the club. GCFC may take photos for promotional use in line with FA guidelines. If you or your child do not consent, please inform the club when joining. For U7–U15 players, I agree to be present, or arrange for another parent/guardian to be present, at all training sessions and matches. This field is required.

Emergency contact

Emergency Contact *

Parent / Guardian information above

Emergency contact below

Who should be contacted first in the event of an emergency?

Emergency Contact Name (Must be different than Parent/Guardian above) *

Emergency Contact Address (if different from above)

Emergency Contact Phone Number

Must be different from parent / guardian above

GP Information

GP Name *

GP Surgery Address *

GP Telephone Number *

General Medical Information

Has your child ever had any of the following? If Yes, please specify in the details section

EpilepsyNew field *

Yes

Allergies (Including medications, foods, plasters, tapes, lotions, creams, pollen) *

Yes

Previous Injuries: (Including fractures, ligament, tendon, muscle) *

Yes

Stomach/Digestive Problems *

Yes

Dietary Requirements (Allergies or eating problems) *

Yes

Dental Problems (Infections, operations or orthodontic interventions) *

Yes

Ear/Nose/Throat Problems *

Yes

Skin Problems (Eczema/Psoriasis) *

Yes

Other Medical Problems: (e.g. blood borne disease, diabetes) *

Yes

Medication: (Including inhalers) *

Yes

Seen a Specialist Doctor: (Including physiotherapist) *

Yes

Major Illness or Injuries: (Causing surgery, rehab or absence from football) *

Yes

Mental Health or Anxiety Problems *

Yes

Sleep Problems *

Yes

Details (Please add details to any of the above questions you selected Yes to)

Player’s Blood Group (if known)

Cardiac Medical Information

Has your child ever had any of the following? If Yes, please specify in the details section

Heart Disease (Including heart murmur or abnormal heart rhythm) *

Yes

Fainting or Dizzy Spells *

Yes

Chest Pain, Heaviness or Tightness *

Yes

Palpations *

Yes

Do any of these occur with exertion *

Yes

N/A

Details (Please add details to any of the above questions you selected Yes to)

Respiratory & Concussion Medical Information

Has your child ever had any of the following? If Yes, please specify in the details section

Respiratory Disease: (Including asthma, bronchitis & hay fever) *

Yes

More easily Tired or Shortness of Breath (SOB) than their teammates *

Yes

Have a Cough or Wheeze post exercise *

Yes

Has your child ever had concussion *

Yes

Details (Please add details to any of the above questions you selected Yes to)

Other information

Please provide any other relevant information that you would like your manager to have about your child

Registration Fees