2021 AUTUMN PRE-SEASON WEEKEND U15/U18
September 11, Saturday - September 12, Sunday
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Player's Information
Player's First & Family Name *
Any food allergies?
Any medication or treatment? Please indicate the name,  the amount, the time as well as how medicines should be taken.
Anything about the player's physical condition we should be aware of?
Contact Information
Player's Phone Number
Player's LINE ID
Father's Name *
Father's Phone Number *
Father's LINE ID (so we can add you to the LINE group chat and receive updates, photos, videos)
Mother's Name *
Mother's Phone Number *
Mother's LINE ID (so we can add you to the LINE group chat and receive updates, photos, videos)
Email Addresses (if several, separate with ",") *
First Person to contact in case of emergency *
Do you allow us to take photos and videos, and to upload them on FC Nomade website and SNS platforms? *
How will the player go home on Sunday afternoon? *
I confirm that I am a player's parent or a player having received consent from one of my parent to fill and submit this form. *
Required
Documents to be sent by email
We need the following documents to show to the hospital in case of injuries sustained during the camp for insurance purposes, and to ensure the players receive quick diagnosis, cares or treatment if needed.

Please, send the documents below to fcnomade@p-and-i.jp 

> Copy of passport
> Original of Japanese Insurance Card
Please confirm *
Required
Data Privacy
All information provided to FC Nomade, through this form or by any other means on-line (correspondence by emails, messages shared through LINE) or in writing (documents of any kind) will be treated with strict confidence and will, under no circumstances, be shared with any third-parties. FC Nomade will carefully handle your personal information and will use personal information only within the limitations of the purpose of registering the player to FC Nomade Camps.
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