Your Registration Data | Dulwich Hamlet Junior FC

Parent/Carer	Parent
First Name	[60]
Surname	[61]
Date of Birth	[126 format=”jS F Y”]
Fan number if Registered	67696890
Mobile Number	07973 235562
Email	richard.steward@stewardandco.com
Address
Post Code

Does the player have any allergies or medical conditions	YES
If so please state here	Mild asthma and hayfever (both summer only)
Is the player taking medication	YES
If so please state here	ventolin, becotide and anti histamine
Is layer OK to administer medication unsupervised	YES
If no, then suitable advice to be supplied to the team manager
Supply another emergency contact and number
First Name	[77]
Surname	[128]
Relationship to player	Mother
Date of Birth	27th December 1977
Fan number if Registered	N/A
Mobile number	07522 675924

It is a condition of a player joining Dulwich Hamlet Junior FC that the player and parents, guardians, carers, family and supporters of that player, agree to be bound by the club rules and to abide by our club’s Code Of Conduct at all times. A signing on fee of £50 is payable on completion of this form and can be paid using our secure online payments portal with Paypal which appear automatically when the registration form is submitted. A fee of £8.00 is due weekly and is to be paid monthly – £32.00 – for a period of eight months only. This is to be set up at the same time as the signing on fee is completed using our secure online payment portal with Paypal. Any subsequent brothers or sisters joining the club in the same season as players will be entitled to a £15.00 discount on the signing on fee. Complete the payment boxes as usual for any siblings and on confirmation of that by the manager’s, the club will refund the difference direct to the person who made the payment. Training – All training subs will be collected by the team manager and should never be paid direct to the club. It is also a condition of joining the club that all club functions/fundraisers will be supported by all.
I agree to the conditions stated above and that all the information provided is correct.	YES
03/07/2024 [60] [61] (Parent of [44] [45])