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Shropshire FA Youth Council - Young Leadership Event - Introduction to Refereeing Workshop
Please complete the quick questions below to register your attendance. Parents must complete on behalf of any young person under the age of 18.
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Email
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Your email
Full Name of participant:
*
Your answer
Age (This event if for participants aged 14 - 18)
*
Your answer
Contact E-mail Address (if U18, please provide parent/guardians details)
*
Your answer
Contact Mobile (if U18, Please provide parent/guardian details)
*
Your answer
Parent Name & Contact Number (Must provide if U18)
Your answer
Please state any medical conditions we may need to be aware of:
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Do you have a disability?
*
Yes
No
Please provide details if you have a disability
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Emergency Contact Name (Please provide)
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Your answer
Emergency Contact Contact Number (Please provide)
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Your answer
How did you hear about this event?
Club
School
Social media & website
Other:
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What is your current involvement in Football?
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Photography Consent: Photographs and Images may be used in conjunction with Shropshire FA marketing purposes. By ticking the box below you consent to the use of publishing imagery/videoing.
*
I give consent to the use of photography/publishing images
I do not give consent to the use of the photography/publishing images
Required
If U18, please provide parental consent to attend the event by signing below:
*
I consent to my son / daughter attending the Leadership event and i will be responsible for arranging appropriate transport to and from the event.
I am over 18 and i will make my own way to the Leadership Event
Required
Thank you for completing the registration for the Shropshire FA Youth Council - Young Leadership Event. Confirmation will be sent out a few days before the event to confirm further details. Should you have any questions please contact Eve Bailey, Shropshire FA on
eve.bailey@shropshirefa.com
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