EAST MANCHESTER JUNIOR FOOTBALL LEAGUE PLAYER REGISTRATION FORM Season 2015-16 EAST MANCHESTER JUNIOR FOOTBALL LEAGUE PLAYER REGISTRATION FORM Season 2015-16 PLAYER’S NAME PLAYER’S NAME DATE OF BIRTH DATE OF BIRTH HOME ADDRESS HOME ADDRESS I wish to be registered as a player of I wish to be registered as a player of FC UNDER FC UNDER and agree to comply with the rules and regulations of the EMJFL. PARENT/GUARDIAN SIGNATURE SCHOOL and agree to comply with the rules and regulations of the EMJFL. PARENT/GUARDIAN SIGNATURE SCHOOL If this player has previously registered with another team in the EMJFL please state which team If this player has previously registered with another team in the EMJFL please state which team A player is not allowed to register for the EMJFL if signed with a Football Academy or School of Excellence. A player is not allowed to register for the EMJFL if signed with a Football Academy or School of Excellence. MEDICAL CONDITION MEDICAL CONDITION Please state any known Medical Condition & Emergency Contact Number CLUB OFFICIALS NAME & EMAIL ADDRESS (PRINTED) Affix photo Please state any known Medical Condition & Emergency Contact Number CLUB OFFICIALS NAME & EMAIL ADDRESS (PRINTED) Please return: Completed form and 2 passport photos 1 X Photo to be glued onto form and 1 x Photo attached with paperclip only Proof of date of birth Affix photo Please return: Completed form and 2 passport photos 1 X Photo to be glued onto form and 1 x Photo attached with paperclip only Proof of date of birth EMJFL OFFICIAL USE ONLY EMJFL OFFICIAL USE ONLY Date registered Date registered Proof of birth seen YES - NO Proof of birth seen YES - NO