Girls Elite & Development
Expression of Interest form
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Participant name *
email address *
Participant's  playing experience *
Participant date of birth *
MM
/
DD
/
YYYY
Age *
Address (please provide pull address)_ *
Postcode *
Participant Ethnicity *
Required
Religion *
Required
Emergency contact details *
Do you/ does your child have any specific medical needs/additional needs/disabilities/mental health issues/long-term health conditions that we need to be made aware of?
*
If yes, please specify
The foundation will from time to time use photographs or videos taken during our courses on social media for promotional purposes, please state whether you consent to the use of any photographs or videos being on social media
*
Required
I give permission for my child to receive first aid for any injuries sustained during the session
*
I acknowledge that Crawley Town FC Foundation staff are only responsible for participants whilst attending CT Foundation courses and cannot be held responsible for their welfare once they have left the site.
*
I agree to the information above and can confirm I have provided the correct information where necessary.
*
Required
Any other comments?
Submit
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