Registration Form

Registration Form Download Link OPFC-RegForm2018-19.pdf

          

 

        Old Parmiterians’ Football  Club

 

               Website: www.oldparmiteriansfc.co.uk

 

CLUB REGISTRATION FORM   Season 2018-19

 

The data below is required by the Leagues & County Football Associations

 

All data supplied will remain confidential under the terms of the Data Protection Act

 

 

  • PLAYERS NAME:______________________________________________________________

 

  • ADDRESS:______________________________________________________________________

 

          ________________________________________________________________________________

 

  POSTCODE:_____________    EMAIL ADDRESS:________________________________________

 

 

  • TELEPHONE NUMBERS: HOME:_____________________________________________________

 

 

  • WORK: ___________________________ __MOBILE:____________________________________

 

 

  • OCCUPATION: ________________________________________________________________

 

   

  • Date of birth:___________________  

 

  • Registration Fee for all members is £50  paid in full before 30 September 2018

 

I agree to abide by the rules and codes of conduct of the Old Parmiterians Football Club and I agree to play for
the club for whichever team I am selected. NOTE : OPFC reserves the right to recover any monies owed. This
may include Court action.
I am not under any suspension by another club or a county FA or owe monies to such bodies
Any player who has played outside of England after the age of 10 will need to apply for International Clearance
from that FA.

 

Other clubs currently playing for:_________________________________________________

 

 

Signed:_________________________________________Date:_______________________________

 

I wish to play for: (Please Tick)  Open Age Team (over 16)    0     or Vets sides (over35)   0 Over 45   0

 

 For New members only

 

Previous Clubs in Order:______________________________________________________________________

  

Who Introduced you to the club:_________________________ Playing Position(s):______________________

   

Cheques for £50 should be made payable toOld Parmiterians FC. Or for Bank Transfers:

 

Bank details: Lloyds TSB; 30-99-86;  a/c 07996381;  Old Parmiterians FC; Detail Name as reference

 

This form is required to determine who will be playing for the club this season and the number of teams we will field. Any queries relating to this information can be addressed to me via email honsec@oldparmiteriansfc.co.uk or Tel: 07930 484449.

ALL JOINING FEES MUST BE PAID IN FULL BY 30 September