Registration Form

Please complete all sections of the form

Players name *

Gender *

Date Of Birth *

Current Club

Favorite Position

Parent/ Guardian Details

Parent Guardian Name *

Date Of Birth * This is in order to register with the FA as the National system requires to have full parent/ guardian details

Address * Please include full post code and door number

Telephone Number *

Email Address *

Emergency Contact Details

This can be a second parent/ guardian over the age of 18

Contact Name *

Contact Number *

Contact address

Medical Conditions/ Treatment

Has the child/ player been in receipt of any specific medical treatment within the past 3 years? * In particular, any ongoing treatment or treatment that would have hospitalised the individual for more than 1 day.

If yes, please specify * If there are no specific treatments, simply add N/A

Does the player take any continued medical treatment? * This should include items such as inhalers, EpiPens, Allergy medication or any continual medication.

If selected YES, please list the medications and dosages * Please note, that we will need to receive a prescribed medication in order to keep it in our Specific medication bag at all sessions the child/ player attends.

If your previous response was NO, please add N/A to this sections

Has the child/ player had any history of chest pains or dizziness? *

Sessions of interest

Please select the sessions you are interested

Which venue would you like to attend?

Which sessions are you interested in registering for? *

How did you hear about us?

How was you introduced to TIDI?

please state the name of the parent and player who referred you

TIDI Sports | Youth Football Greenwich | Youth Football Hackney | Kids Football London

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