Millwall PL Kicks Registration Form - Damilola Taylor Centre

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Millwall Premier League Kicks Registration form - Damilola Taylor Centre (12-15)

• Any player who is found to be under the influence of drugs or alcohol will be subjected to being removed from the session.
• Respect the facilities including building and equipment.
• Any player who feels threatened, intimidated, bullied or discriminated against should report this to MCT staff.
• I will arrive at the session ready to take part, with the correct clothing and footwear.
• No racist, sexist, use of abusive language or behaviour will be tolerated.
• No alcohol or drug consumption is allowed whilst in the facility.
• I will respect Millwall Community Trust staff members and participants at all times.
• I will not deliberately put myself or anyone else at risk throughout the session.
• I agree to not act unlawfully, intentionally threaten, or use a weapon towards another person.
• I agree to not act in such a way that there is an immediate risk of serious physical harm to myself or other people
• I will inform Millwall Community Trust staff if anyone is in breach of the Code of Conduct or is putting either themselves or others at risk.

Email *

First name *

Surname *

Age *

Date of birth *

YYYY

Address *

Post code *

Gender *

Female

Male

Prefer not to say

Other:

Ethnicty *

Asian/Asian British - Indian

Asian/Asian British - Pakistani

Asian/Asian British - Chinese

Asian/Asian British - Bangledeshi

Asian/Asian British - Other

Black British - African

Black British - Caribbean

Black British - Other

Black African

Black Carribean

Mixed/Multiple ethnic groups - White and Asian

Mixed/Multiple ethnic groups - White and Black African

Mixed/Multiple ethnic groups - White and Black Caribbean

Mixed/Multiple ethnic groups - Other

Mixed/Multiple ethnic groups - Unspecified

White - Welsh/English/Scottish/Northern Irish/British

White - Irish

White - Gypsy, Roman or Irish Traveller

White - Eastern European

White - Unspecified

Other Ethnic Group - Arab

Other Ethnic Group - Other

Other:

Photo/Filming Consent for promotional purposes *

Yes

Medication *

Disability *

Emergency Contact Name *

Emergency Contact Number *

Emergency Contact Name 2 *

Emergency Contact Number 2 *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms