New Membership Application

You are applying for a new membership with Parkwyddn JFC. Please provide us with some information about you.



MEMBERSHIP SELECTION

New members or membership renewal fees for 2019 / 2020 are £25.

REQUIREMENTS FOR APPROVAL

• Receipt of registration fee
• Notice of Direct Debit
• Proof of age, Birth cert or passport emailed to:...


Membership

New member / membership renewal fee = £25

We offer £5 discount for each sibling who joins Parkwyddn JFC.

• U7 to U13s = £20 per Month
• U7 to U13s = £15 per Month (Discounted sibling rate)
• U14 to U16s = £22 per Month
• U14 to U16s = £17 per Month (Discounted sibling rate)




Team Joining

Please select which of our teams you wish to join.

PLAYER DETAILS




Please note: unsuitable photos will be removed if they can't be edited to meet requirements.

(5mb Max per each image)


Please upload Your Passport or Birth Certificate. We also need a Player Photo (passport style, in front of a WHITE BACKGROUND)




Please upload your Passport or Birth Cert scan or photo

Please upload your Player Photo.


First Name
Last Name
Gender
School Attending
Nationality
Country of Birth
Date of birth



MEDICAL

Does the player have any medical conditions?
NoYes

Should your child have any medicines or devices with him / her?
NoYes

Does your child have any access, communication, language or behavioural needs?
NoYes

Does your child have any religious or cultural needs that we should be aware of?
NoYes

Is your child the subjectof any form of court protection order or care proceedings?
NoYes


PLAYERS ADDRESS

House No and Street Name
Town
City
Post Code

PARENT / GUARDIAN DETAILS

Every player must be attached to an adult in the FA system, therefore an account must be made for a parent also, the following details are required to do this.


Parent or Guardian

First Name
Last Name
Contact Number
Email
Date of birth



CONSENT

Please review the below consent options to finalise the membership application.
Code of Conduct - Young Players

It is important everyone behaves themselves when playing football. We all have a responsibility to promote high standards of behavior in the game

As a player, you have a big part to play. That's why Parkwyddn JFC, The FA and League requests every player to follow a Respect Code of Conduct: Young Players

When playing football, I will:
• Always do my best, even if we're losing or the other team is stronger
• Play fairly - I won't cheat, complain or waste time
• Respect my team-mates, the other team, the referee, or my coach / manager
• Play by the rules, as directed by the referee
• Shake hands with the other team and referee at the end of the game
• Listen and respond to what my coach/team manager tells me
• Talk to someone I trust or the Club Welfare Officer if I’m unhappy about anything at my club.

I understand that if I do not follow the code,(in breach of) any/all of the following actions (below) may be taken by my club, County FA or The FA. This may affect my registration with the Parkwyddn JFC and that my registration can be cancelled at any time and without prior notice being given. I understand that suspension of my registration maybe permanent. Reinstatement of registration will only be permitted by approval of the Club Committee.

I may:
Be required to apologise to my team-mates, the other team, referee or team manager
Receive a formal warning from the coach or Club Committee
Be dropped or substituted
Be suspended from training
Be required to leave the club

In addition:
My Cub, County FA or The FA may make my parent or carer aware of any infringements of the Code of Conduct
The FA/County FA could impose a fine and suspension against my club

Player Signature and Date Completed

I understand that by signing the Membership form that any breach of this Code of Conduct may affect my membership with Parkwyddn JFC and that my membership can be cancelled at any time and without prior notice being given.

I understand that suspension of my membership maybe permanent. Reinstatement of membership will only be permitted by approval of the Club Committee.

Important Information

•In the event that my son/daughter is injured whilst playing football/travelling to and from football events and I cannot be contacted on the above number(s), I hereby give my consent for my child to receive medical attention.
• By completing this form I give my consent for the club to take photos or videos of the team or individuals in it and I understand Parkwyddn JFC may use photographs of my child in its publicity material and may allow my child's photograph to appear in the media. Parkwyddn JFC adhere to FA Guidelines to ensure these are safe and respectful and used solely for the purposes for which they are intended, which are promotion and celebration of the activities of the Club.
• I hereby give my consent for the above details to be held in accordance with the Data Protection Act 1998 for Club use only, and by giving my email address I consent to receiving any Club email correspondence relating to the membership.
• I understand that if membership fees are unpaid my son/daughter will be de-registered from the relevant league and unable to play until the financial situation is resolved.
• I understand that all items of kit remain the property of the Club and will need to be returned on request

Code of Conduct - Parents / Carers / Supporters

The following Code of Conduct, which conforms to FA standard and that of the Respect Programme, will apply to any Parent or Spectator in attendance at League organised football matches, and training sessions at all times. We all have a responsibility to promote high standards of behavior in the game. This club is supporting the The FA’s Respect programme to ensure football can be played in a safe, positive environment. Play your part and observe the FA’s Respect Programme for Spectator’s and Parents.

A Parent’s/Carer’s/Spectator’s expectations and attitudes have a significant bearing on a child’s attitude towards:
Other players, Officials, Managers, Spectators

Parkwyddn JFC will ensure that parents/carers/spectators are always positive and encouraging towards all children - not just their own and will encourage parents/carers/spectators to:

•Remember that children play for FUN
•Applaud effort and good play as well as success
•Always Respect the match officials’ decision
•Remain outside the field of play and within the Designated Spectators Area (where (provided)
•Let the coach do their job and not confuse the players by telling them what to do
•Not to shout and scream, demonstrate appropriate social behaviors
•Encourage players to respect the opposition, referee, and match officials
•Avoid criticising a player for making a mistake, mistakes are part of learning
•Give attention to each of the children involved in football not just the most talented
•Respect the rights, dignity and worth of every person regardless of age, gender, disability, sexual orientation, marital status, ability, religion or belief, nationality, ethnic origin or colour.
•Never engage in, or tolerate offensive, insulting or abusive language or behavior.
•Understand that by signing this form and not following the Code, (being in breach of), any/all of the following actions below may be taken by the club, County FA, league or FA, it may also affect the Registration of my Child to Parkwyddn JFC whereby Registration may be cancelled at any time without prior notice being given and maybe considered as permanent.

Issued with a verbal warning from a club or league official
Required to meet the club, league or County FA Welfare Officer
Required to meet with the club committee
Obliged to undertake and FA education course
Obliged to leave the match venue by the club
Requested by the club not to attend future games
Suspended or have my club membership removed
Required to leave the club along with any dependents
In addition the FA/County FA could impose a fine or suspension of the club.

The club will ensure that parents/carers/spectators agree and adhere to this Code of Conduct and apply it at all times during training session and on match days before, during and after the match.

For the avoidance of doubt, breaches of the Code of Conduct will include, but not be limited to, the following:

a)Verbal or physical abuse of another person, b) Harassment of individuals or a group/s, c) Inappropriate behavior or questioning of match officials decisions or actions, d) Ridicule, baiting or fouls and abusive language, e) Engaging in behavior that is not respectful of others

I have setup the Direct Debit payments.

No memberships with be approved until the direct debit has been set up in accordance with our subscription plans. If you still need to setup the direct debit, please visit this link: https://www.parkwyddnjfc.uk/payments/

Parents Signature
Date Signed