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Portsmouth Girls Futsal Programme - Registration
The following to be completed by a Parent or Guardian of the player wishing to be a part of the Youth Girls Futsal programme hosted by Portsmouth & Southsea Futsal Club.
Please note that this programme is only for U9s to U12s (Year 4 to Year 7)
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* Indicates required question
Player Full Name
*
Your answer
Player Date Of Birth
*
MM
/
DD
/
YYYY
Current Age Group (Season 2024/25)
*
U9s (Year 4)
U10s (Year 5)
U11s (Year 6)
U12s (Year 7)
Player Ability
*
Low Ability (Beginner)
Medium Ability (Grassroots)
High Ability (Grassroots, JPL or Academy)
Parent/Guardian Email
*
Your answer
Emergency Contact Telephone
*
Your answer
Emergency Contact Telephone 2
Your answer
Any medical conditions or allergies?
*
Your answer
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