Hackney Laces Registration Form
Training is from 6-7pm every Thursday at Petchey Academy in Dalston. We require everyone who'd like to join us to fill in this form before they attend their first session.

Welcome to the family! We're so lucky to have you.
What's your full name? (Player's name) *
What's your date of birth? *
MM
/
DD
/
YYYY
What's your phone number? *
What's your email address? *
What's the name and number of your emergency contact? *
Do you have any medical conditions that we should be aware of? *
If none, please write N/A
Why do you want to join Hackney Laces? *
How did you find out about Hackney Laces? *
Did you enquire via email or Instagram before filling in this form? *
No worries if you didn't, we don't expect you to, it's just to keep track of people!
What is your level of football experience? *
Complete beginner!
#Baller
Declaration: I will not attend the session if I or anyone I have been in contact with has symptoms of COVID-19 (fever, cough, shortness or breath, loss of smell or taste). *
Do you consent to Hackney Laces using photographs/videos of you to internally and externally promote the club? These images could be used in any physical or digital media (publications, websites, advertising, film, social media). This consent also extends to external organisations authorised on behalf of the club. *
If you are under the age of 18, please ask the permission of a parent/guardian.
How do you feel about coming along to training? Is there anything you feel we should know that is not covered in this form? Would you like to have a chat with a member of our team before your first session? *
If so, please feel free to contact us by email (hello@hackneylaces.co.uk) or DM us on Instagram (@hackneylaces)
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