Owens Registration 2023-24
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First name  *
Last name *
Your email *
Date of birth: DD/MM/YYYY *
MM
/
DD
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YYYY
Mobile Number *
Home Address *
Post code *
What is your current status?
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Have you played for Old Owens before?
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Have you ever played or Registered with a Club outside of England?  NOTE Outside of England includes Scotland, Wales and Northern Ireland)
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Who should we contact in case of emergency?
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Emergency contact number:
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Do you have any pre-existing medical conditions?
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If yes, please provide further details.
Do you regularly take any prescription drugs?
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If yes, please provide further details.
Do you have a family history of heart or circulatory disease, such as a heart attack or stroke?
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Please select your preferred method of paying fees *
I confirm that I have read and understood the Owens FC Fees and Discipline Policy and that Owens FC can process my personal data in accordance with their Privacy Notice.
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I also understand that my registration to Owens FC will only be finalised once a recent image is provided for ID purposes.
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