Vulcan Juniors FC – Player Registration Registration Form 22-23 1Welcome2Team Details3Player Details4Parent / Carer Details5Child Welfare and Consent WelcomeWelcome and thank you for being part of the Vulcan Juniors FC for family for the 2022/23 season. There are five sections to the form and it will take you approximately 5 minutes to complete if you have all of the information you need to hand. Complete each section, cycling to the next section using the the 'Next' button. Registration must be completed for your child to participate in Vulcan Juniors FC activities. The data we collect is for the purposes of insurance, health and safety, well-being and safeguarding. Getting StartedHas your child played for Vulcan Juniors FC in an organised league before now?(Required)Select "No" if this will be the first time your child has played for a Vulcan JFC team (e.g. new u7 players). It also applies to any players at any age that are transferring to Vulcan JFC from another league team. Yes No Before you get started, you will need to have the following information to complete your registration: 1. A head and shoulder photograph (passport style) of your child against a neutral background (you can use your camera to take a picture of your child from a phone or upload an existing photograph from your device). 2. A phone number and an email address for two nominated player contacts (parents/carers).Before you get started, you will need to have the following information to complete your registration: 1. A head and shoulder photograph (passport style) of your child against a neutral background (you can use your camera to take a picture of your child from a phone or upload an existing photograph from your device). 2. Your child's proof of age (passport or birth certificate) - you can use your camera to take a picture of the proof of ID and upload it, or upload an existing image from any device. 3. A phone number and an email address for two nominated player contacts (parents/carers). 4. Your FA FAN Number (if you do not have one you can obtain one via the thefa.com by registering a new account, you can follow our step-by-step guide here. Once registered log back in to the FA website and view your account, which will display your FAN Number. If you have difficulty then you can provide your date of birth and we will help create one. This is a new requirement of the FA for parent/carers to have a FAN number, which links you to your child in the FA's systems). Player's Team and Coach(Required)Please select your child's team carefully, if the incorrect team is selected this can lead to a delay in player registration.PLEASE SELECT YOUR CHILD'S TEAMU7 Mixed - Phil HampsonU7 Mixed - Matt HolmesU7 Girls - Drew TilleyU8 Mixed - Scott NolanU8 Mixed - Dan AndrewsU8 Mixed - Danny FrancisU9 Mixed - David WilkinsonU8/U9 Girls - Liam JohnsonU9/U10 Girls - Helen McCueU10 Mixed - Ste CharlsonU11 Mixed - Aaron MiszczakU11/U12 Girls - Ronnie IrwinU11/U12 Girls - Andy Baynes-PhillipsU12 Mixed - Neil HargateU13 Mixed - Simon CollierU13 Mixed - Lee CastleU14 Mixed - Simon HowardU13/U14 Girls - Ciaran WilkinsonU13/U14 Girls - Tom MatherU15 Mixed - Stuart PilkingtonU16 Girls - Kevin SpencerU17 Mixed - Phil McCue Player DetailsPlayer's Forename(Required) Player's Surname(Required) Player's Date of Birth(Required)Please select date of birth carefully. If inconsistent with our records or proof of ID, this can cause delay to registration DD slash MM slash YYYY School Year (from Sept 2022)(Required)Please select the school year your child will be in from September 2022Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Year 11Year 12+Player's Address(Required)Start typing your first line of address (DO NOT USE AUTOFILL) E.g. 20 Sesame Street Please indicate whether the player has any medical conditions we should be aware of (e.g. asthma, allergies etc).Does this player have a sibling who will also be registered for a Vulcan JFC team?(Required)You can qualify for a fees discount if you have more than one child at the club No Yes Player Registration DocumentsPlayer Photo Upload(Required)Max. file size: 12 MB.The photograph will be uploaded to the FA system, and will be used for ID verification checks that have to be undertaken before the start of each gamePlayer Proof of Age(Required)Max. file size: 12 MB.If this is the first time your child has registered for a team, we require proof of age to complete registration Parent/Guardian/Carer DetailsContact 1 Name(Required) Forename Surname Contact 1 Date of Birth(Required) DD slash MM slash YYYY Contact 1 Mobile Phone Number(Required)Please enter your mobile phone number without any spaces Contact 1 Email Address(Required) Contact 1 FAN NumberIf known, please provide your FA FAN Number. Parent/Carer FAN Numbers are now required by the FA as part of the player registration process. If not known, we can usually progress with your date of birth and post code. Contact 1 Relationship to Child(Required) Please also provide an emergency contact in the event the primary contact cannot be reached:Contact 2 Name(Required) Forename Surname HiddenContact 2 Date of Birth DD slash MM slash YYYY Contact 2 Mobile Phone Number(Required)Please enter your mobile phone number without any spaces Contact 2 Email Address(Required) Contact 2 Relationship to Child(Required) Would you or anyone else you know be interested in any of the following volunteering roles?We are always looking for anyone that has the time and enthusiasm to contribute in any way towards running the club. We will provide full training and for some roles it could attract a small wage (e.g. bar and kitchen work). If you select a role we will be in touch separately. No, not at this timeClub Secretary - Saturday Teams (Committee Role)Kitchen Staff (serving food / refreshments)Bar Attendant (serving drinks)Sports Ground MaintenanceCaretakerCoaching (inc academy, mixed, girls, disability)Referee (youth or adult) Child Welfare and ConsentAre there any details that you feel, we as a club, need to be informed about with regards to the safeguarding of the registering player? If so, please note these in text field below.(Required)NoYesIs the registering player subject to a care order, social services involvement, in foster care or adopted?(Required)NoYesIf Yes to any of the above two questions, please give details. (Note that all information will be kept in the strictest of confidence and will be used to ensure the continued safeguarding needs of the registering player).Would you like our Welfare Officer to contact you to discuss this confidentially?NoYesImage ConsentI give consent for the registering players's picture / image to be used on any promotional material and/or team pictures including: adverts, posters, social media (e.g. Facebook) and the club website I agree to images of the player being used for the purposes described aboveVideo / Filming ConsentI give consent for the registering player to be filmed, which could be used on for promotional material, social media (e.g. YouTube), the club website and presentation evenings I agree to video/filming of the player being used for the purposes described aboveFees and Subs Consent(Required)I agree to pay monthly subs for 12 months by Standing Order, plus a yearly registration fee of £20. I understand that failure to continue to pay subs may result in temporary suspension of the player. I agree to adhere to the outlined payment termsClub Policy and Code of Conduct Consent(Required)By ticking this box, you agree to abide by the rules and regulations of Vulcan Football Club as stated in the Constitution and Club Rules. This includes adhering to the Code of Conduct for you, the player and any friends and family that attend Vulcan JFC activities. You are also agreeing for us to use your data in line with our Privacy Notice (see link below). I agree to the club's policies and code of conductLink to Club Policies, Rules, Regulations, Code of Conduct, and Privacy Notice Note: Player information provided in this form will be entered onto the Whole Game System database, which is administered by the FA. We also pass this information to Liverpool County FA and to Warrington Junior Football League to register participants and the team for matches, tournaments or other events, and for affiliation purposes.CAPTCHA Δ
