Southdown FC Membership Form
Please fill out this form for membership for the Southdown football club.
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Email *
SECTION A: PLAYER (CHILD'S) DETAILS
First Name *
Surname *
Date of Birth *
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School Year (in September 2023) *
Gender *
Required
Home Address *
Post Code *
Ethnicity *
Whilst it is not compulsory that the Ethnicity section is completed, the following paragraph explains why it is important. Sport can and does play a major role in promoting the inclusion of all groups in society. However, inequalities have traditionally existed within sport, particularly in relation to gender, race, and disability. Sport England is committed to promoting and developing sports equity, which is about fairness in sport, equality of access, recognising inequalities and taking steps to address them. By monitoring the profile of athletes in sports clubs, national governing bodies of sport and Sport England can identify any issues relating to under-representation of different groups and can together develop strategies to ensure that all people have the opportunity in the future to develop and progress sport. In order to help the Club monitor its members please indicate, on the main Application Form under Ethnicity, your Ethnic group/origin
Required
Do you consider yourself to have a disability? *
Required
If yes, then what is the nature of your disability?
The Disability Discrimination Act 1995 defines a disabled person as anyone with “a physical or mental impairment which has a substantial and long term adverse effect on his or her ability to carry out normal day-to-day activities”. If you consider yourself to have a disability, please indicate YES on the main Application Form under Disability Nature and add the appropriate letter from the list below.
What School do you attend? *
Where, if at all , have you previously played football (please tick all that apply)? *
Required
SECTION B: PARENT/CARER/LEGAL GUARDIAN DETAILS
First Name *
Surname *
Home Address (only needed if different from above)
Postcode
Telephone *
Mobile Number (if different to telephone number)
If child is not living with parents, please clarify legal status of child and details of current Carers/Legal Guardians:
SECTION C: MEDICAL INFORMATION
Please detail below any important medical information that our Coaches/Child Welfare Officer should be aware of (e.g. epilepsy, asthma, diabetes, allergies, etc.) If there is no information please write NONE. *
SECTION D: EMERGENCY CONTACT DETAILS
Contact No.1 - Name, Relation & Number *
Contact No.2 - Name, Relation & Number *
SECTION E: PHOTOGRAPHY AND RECORDED IMAGES
Southdown FC recognises the need to ensure the welfare and safety of all young people in grassroots football. At times the Club may wish to take photos or videos of the team or individuals in it.  We adhere to The FA Photography Guidelines to ensure these are safe and respectful and used solely for the purposes for which they are intended; which is promotion and celebration of the activities of the Club and for training purposes.

If you have any additional information which you wish to share with the Club or become aware that images are being used inappropriately please contact the Club Welfare Officer immediately. (You will find a copy of the FA's Photography Guidelines on our website: www.southdownfc.co.uk)


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SECTION F: PLAYER'S CONSENT
Southdown FC recognises the need to ensure the welfare and safety of all young people in grassroots football. At times the Club may wish to take photos or videos of the team or individuals in it.  We adhere to The FA Photography Guidelines to ensure these are safe and respectful and used solely for the purposes for which they are intended; which is promotion and celebration of the activities of the Club and for training purposes.

If you have any additional information which you wish to share with the Club or become aware that images are being used inappropriately please contact the Club Welfare Officer immediately. (You will find a copy of the FA's Photography Guidelines on our website: www.southdownfc.co.uk)

SECTION I: (to be signed by players 11 years +)
I confirm I have read and am willing to adhere to the Club's Player Code of Conduct and agree to always behave in the manner befitting a SOUTHDOWN FC player.
Player Signature
Date of Signature
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SECTION II: (to be signed by players 10 and under)
I will take part in football related activities and will stick to the Club rules. I will tell the coach or another person if I do not feel well or if I have any worries.
Player Signature
Date of Signature
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SECTION G: PARENTAL/CARER/LEGAL GUARDIAN CONSENT
My child is in good health and I consider him/her to be capable of taking part in weekly training. I have completed the medical information as listed above and I understand that the information will be shared with other relevant members of the Club, e.g. Coaches. I consent that in the event of an emergency any necessary treatment can be administered to my child, which may include the use of anaesthetics.  I understand that in such an occurrence all reasonable steps will be taken to contact me or the alternative adult named above.  I also understand that Football can be potentially hazardous and while Coaches and assisting personnel will take every precaution to ensure that accidents do not happen, they cannot necessarily be held responsible for any loss, damage or injury suffered by my child.  By returning this completed form, I agree:

1. to my child taking part in the activities of the Club and agree with measures the Club has in place to manage risk, including its COVID-19 mitigations in line with current FA and Government guidance;
2. that I have read and agree to adhere to the Club Code of Conduct for Parents/Carers and Spectators; the Health & Safety Policy; and am aware of the Club Constitution (to be found at www.southdownfc.co.uk). I understand and agree to the responsibilities which I and the child named above have in connection with these policies.
3. neither the Club nor Committee shall be liable for any loss, damage or injury to person or property, however arising;
4. that membership fees become payable at the start of each season and that these fees are non-refundable even if my child ceases attending Southdown FC part way through a season (applicable to League players only).
5. I give my consent to Southdown FC, or a photographer appointed by the Club, taking and storing photographic or video images of my child’s involvement in football for the purposes of publicising and promoting the Club or sport, including use on the Club’s social media (website, Facebook page/group etc.) or as a coaching aid.
6. I am responsible for settling any fines from leagues due from bookings or sending off during matches.  I confirm that the ownership of all kit/equipment/jackets etc. remains the property of Southdown FC and the annual fee does not constitute ownership of these items.
7. I give my consent for personal information provided to or collected by Southdown FC, and that of my child, to be held, processed, shared, stored and destroyed in accordance with Southdown FC's Privacy Notice and Data Protection Policy (documents to be found at www.southdownfc.co.uk).

Parent/Carer Signature *
Date of Signature *
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INFORMATION FOR PLAYERS/PARENTS/CARERS/LEGAL GUARDIANS
ANTI-BULLYING – STATEMENT OF INTENT - We are committed to providing a caring, friendly and safe environment for all of our members so they can participate in a relaxed and secure atmosphere. Bullying of any kind is unacceptable at our Club. If bullying does occur, all players or parents should be able to tell and know that incidents will be dealt with promptly and effectively. We are a TELLING club. This means that anyone who knows that bullying is happening is expected to tell the Club Welfare Officer or any Committee Member.

Name of Club Welfare Officers: Amanda Sadler; 07841333887 & Simon Cuckow; 07793939369. Email: welfareofficersdfc@gmail.com 

YOUR DATA PROTECTION RIGHTS
The EU General Data Protection Regulation (GDPR) which came into effect in May 2018 changes the way Southdown FC looks after your personal data. We have a responsibility to ensure you are aware of what we do with your personal information and that of your child, how long we keep it for and your data protection rights. You will find our full Privacy Notice and Data Protection Policy at www.southdownfc.co.uk. Should you have any queries regarding your data please contact Amanda Sadler; 07841333887 & Simon Cuckow; 07793939369. Email: welfareofficersdfc@gmail.com    details as above.
SOUTHDOWN FC CODE OF CONDUCT FOR YOUNG PLAYERS (Please click I agree after your child has read and understood the code of conduct for young players) *
We all have a responsibility to promote high standards of behaviour in football.  As a player, you have a big part to play.  At Southdown FC we ask every player to follow the FA's RESPECT Code of Conduct. When playing football, I will: • Always play to the best of my ability and for the benefit of my team • Play fairly – I won’t cheat, complain or waste time • Respect my team-mates, the referee, the other team, coaches & managers, officials and spectators • Play by the rules, as directed by the referee • Always respect the match official’s decisions • Be gracious in victory and defeat - I will shake hands with the other team and referee at the end of the game • Listen and respond to what my coach/team manager tells me and understand that a coach has to do what is best for the team and not one individual player • Talk to someone I trust or the Club Welfare Officer if I’m unhappy about anything at my club. I understand that if I do not follow the Code, any/all of the following actions may be taken by Southdown FC, the League, County FA or The FA I may: • Be required to apologise to my team-mates, the other team, referee or team manager • Receive a formal warning from the Club • Be dropped or substituted • Be suspended from training • Be required to leave the Club. In addition, Southdown FC, A League, County FA or The FA may make my parent or carer aware of any infringements of the Code of Conduct.  The FA/County FA could impose a fine and suspension against my Club.
Required
SOUTHDOWN FC CODE OF CONDUCT FOR PARENTS/CARERS & SPECTATORS (Please click I agree after you have read and understood the code of conduct for parents/carers & spectators) *
We all bear a collective responsibility to set a good example and help provide a positive environment in which children can learn and enjoy football.  Play your part and observe the FA's RESPECT Code of Conduct at all times. I will •Remember that children play for FUN • Applaud effort and good play as well as success • Always respect the match officials’ decisions • Remain outside the field of play and within the Designated Spectators’ Area (where provided) • Let the coach do their job and not confuse the players by telling them what to do • Encourage the players to respect the opposition, referee and match officials • Avoid criticising a player for making a mistake – mistakes are part of learning • Never engage in, or tolerate, offensive, insulting, or abusive language or behaviour. I understand that if I do not follow the Code, any/all of the following actions may be taken by Southdown FC, the League, County FA or The FA I may be: • Issued with a verbal warning from a Club official • Required to meet with the Club Disciplinary Committee • Required to meet with the League or County Welfare Officer • Obliged to undertake an FA education course • Obliged to leave the match venue by the Club • Requested by the Club not to attend future games. In addition, the FA/County FA could impose a fine and/or suspension on The Club.
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