VINTERS FOOTBALL CLUB PLAYER REGISTRATION 2014/5

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PLAYER REGISTRATION 2014/5 is invited to register for the team, at the Under age group. Please complete the attached forms: 1) League Registration Form 2) Club Player Record Form 3) Player & Parent Respect Forms 4) Gift Aid Declaration to enable the Club to reclaim tax on donations 5) Kit Order Form Please also provide: 6) 2 current passport photos attached to League Registration Form 7) (a) Photo opy of hild s passport or irth ertifi ate Or (b) Last season s player registration ard / ounterfoil 8) (a) 45 (cheque to be made payable to Vinters F.C.). This comprises a Club Registration fee of 12, and a standard donation of 33 for Club funds. Or (b) 40 for player if sibling also registering as a Vinters player The Club are holding Registration days on the following dates, when you are asked to attend, and submit the relevant forms and payments: Saturday 19 th July at Penenden Heath Social Hall, Penenden Heath, ME14 2DP Under 7s & 8s Under 9s & 10s & 11s Under 12s & 13 &14s Under 15s & 16s & 18s 9am->10am 10am->11am 11am->12noon 12noon->1pm Monday 21 st July at Civil Service Club, Recreation Close, ME14 5AZ from 7:30pm->9:30pm. Monday 18 th August at Civil Service Club, Recreation Close, ME14 5AZ from 7:30pm->9:30pm. Players will ONLY be registered with a League if all forms are completed, and accompanied by the Club Registration Fee. Prior to the season, each player will be issued with new shirt, shorts, socks which remain the property of the Club and must be returned to the Club if the player leaves the Club. Please bring your old Vinters shirts and shorts to the Registration Days, so we can donate them to our charity for reuse.

REGISTRATION AND CONSENT FORM 2014-2015 TEAM DETAILS: Team Name: Manager: Green/Park/Rangers/Valley/Girls Age Group: PLAYER DETAILS: Full Name: Address: Date of Birth: Post Code: Tel (Home): Tel (Mobile): School Name: School Year (Sept 2014): PARENT/GUARDIAN DETAILS: Contact 1 Name: Telephone: (Home): E-mail: Contact 2 Name: Telephone: (Home): E-mail: VFC Sibling Name: Relationship: (Mobile): Relationship: (Mobile): VFC Team: Is there any other information you wish us to know about your child? Do you agree to receive general and/or specific club information and be contacted via e-mail? Yes/No PARENTAL CONSENT: I confirm that my child can participate in football training and matches with Vinters Football Club and understand that whilst participating, he/she will be under the care of the Team Manager and/or assistants or other adults authorised by the Club. I have read, understood and agree to comply with the Club Rules (attached). I agree to notify the Team Manager of any changes to the information provided on this form. I consent to photographs/film of my child to be taken for use on the Vinters FC website, Vinters FC Facebook Group, newspaper articles etc in accordance with the FA Photography Guidelines. Name Signed Date 1. 2. Youth League Maidstone & Mid Kent Sunday League Kent Girls/Ladies Football League. Affiliated to Kent F.A. Page: 1 of 4

MEDICAL INFORMATION: Doctor s Name: Address: Telephone: Please provide details of any medical conditions your child has. (eg: heart or respiratory problems; diabetes; behavioural disorders; etc.) Please specify any medication/specialist treatments used (eg medicine, dosage, frequency of use, physiotherapy etc.). If None please state None. Please provide details of any substance that your child is allergic to or intolerant of (eg: food, medicines, plasters, insect bites/stings, plants etc). Please specify any medication/specialist treatments used. If None please state None. Do you consider your child to be in good health and capable of participating in training sessions and matches? If No please provide details. Yes /No Please discuss any information about any medical or behavioural condition with your team manager. All information is kept in the strictest confidence. NOTE: Managers/Coaches/Club Officials are not responsible for administering medication. MEDICAL CONSENT: In the event of an accident or illness requiring emergency treatment, I/We give consent for the administration of First Aid by an appropriately qualified person and for the administration of any medical treatment including anaesthetic if deemed necessary by a qualified medical practitioner. I/We give permission for my child to be taken to hospital by the team manager or a person designated by them in an emergency. Name Sign Date 1. 2. All information provided is treated with absolute confidentiality and retained by the team manager. Youth League Maidstone & Mid Kent Sunday League Kent Girls/Ladies Football League. Affiliated to Kent F.A. Page: 2 of 4

CLUB RULES KEY INFORMATION Vinters FC operate the club in accordance with the appropriate guidance from the FA and current legislation. The Club Constitution and all policies and procedures are published on the Vinters FC website. It is recommended that all parents request a login to the website and read all procedures/policies. The following are key Club rules to note. By signing all sections of this Registration and Consent form, you agree to and understand: Your child will not be allowed to participate in Club activities without all sections of this form being completed, signed and appropriate Club registration fee paid. Club registration fees and training/match subscriptions are set at the AGM prior to the season start. Subscription fees must be paid regularly for ALL players. Fees set will not pose a significant obstacle to community participation. At the Team Manager's discretion, if training/match subscriptions are not paid for three consecutive weeks a player can be suspended (see Disciplinary Procedures). A player will only be registered with a League if all of the appropriate League forms are completed, this Registration and Consent form is signed and the correct Club registration fee has been received. Membership shall be open to all persons, irrespective of ethnicity, nationality, sexual orientation, religion or beliefs; or of age, sex or disability except as a necessary consequence of the requirements of Football as a particular sport. The Club may refuse membership or expel from membership only for good and sufficient cause, such as conduct or character likely to bring the Club or sport into disrepute. Appeal against such a decision may be made to the Club s members and decided upon by a majority vote. Once registered with a team within the Club, the player is a member of that team for the season and cannot change teams, except by initiating the respective league rules and procedures for transfer of players. This applies to official League and Cup games only. All parents, players, spectators, coaches, managers and other club officials must abide by the Club Code of Conduct and the FA RESPECT campaign. (www.thefa.com/respect). Vinters FC operates a Zero Tolerance Policy with regard to behaviour. Everyone participating or attending a Club activity at Valley Park School playing fields must ensure that they respect the facility we have been given permission to use in partnership with Valley Invicta Academy Trust (VIAT). Park in designated areas only; no smoking on any part of the school grounds; take all your litter home; dogs must be kept on leads at all times; do not access those parts of the school grounds/facilities that are not directly being used for Vinters FC football; use only designated access routes to and from playing fields. All registered players are issued with shirt and shorts in Club colours. These items remain the property of Vinters FC and must be returned to the Team Manager if the player leaves the club. If replacement items are required, the Club reserves the right to charge the player for replacement. The player is responsible for providing at their own expense, black socks, shin pads, football boots and if appropriate goal keeper trousers. All players must be on time for the start of training/matches and if appropriate collected promptly at the end of a session. If a parent/guardian is not present at a training/match session, the Team Manager MUST be notified. DEVELOPMENT SQUAD ONLY: A parent/guardian must be present at all times during training/matches involving Development Squad players. Youth League Maidstone & Mid Kent Sunday League Kent Girls/Ladies Football League. Affiliated to Kent F.A. Page: 3 of 4

RESPECT CODE OF CONDUCT YOUNG PLAYERS We all have a responsibility to promote high standards of behaviour in the game. As a player, you have a big part to play. That s why The FA is asking every player to follow a RESPECT CODE OF CONDUCT. When playing football, I will: Always play to the best of my ability Play fairly I won t cheat, complain or waste time Respect my team-mates, the other team, the referee or my coach/manager Play by the rules, as directed by the referee Shake hands with the other team and referee at the end of the game Listen and respond to what my coach/ team manager tells me Talk to someone I trust or the club welfare officer if I m unhappy about anything at my club. I understand that if I do not follow the Code, any/all of the following actions may be taken by my club, County FA or The FA. I may: Be required to apologise to my team-mates, the other team, referee or team manager Receive a formal warning from the coach or the club committee Be dropped or substituted Be suspended from training Be required to leave the club. In addition: My club, County FA or The FA may make my parent or carer aware of any infringements of the Code of Conduct The FA/County FA could impose a fine and suspension against my club. I confirm that I have read and agree to abide by this Code of Conduct: Player Name: Team: Signature: Date: SPECTATORS AND PARENTS/CARERS We all have a responsibility to promote high standards of behaviour in the game. This club is supporting the FA s RESPECT programme to ensure football can be enjoyed in a safe, positive environment. Remember children s football is a time for them to develop their technical, physical, tactical and social skills. Winning isn t everything. Play your part and observe The FA s Respect Code of Conduct for spectators and parents/carers at all times. I will: Remember that children play for FUN Applaud effort and good play as well as success Always respect the match officials decisions Remain outside the field of play and within the Designated Spectators Area (where provided) Let the coach do their job and not confuse the players by telling them what to do Encourage the players to respect the opposition, referee and match officials Avoid criticising a player for making a mistake mistakes are part of learning Never engage in, or tolerate, offensive, insulting, or abusive language or behaviour. I understand that if I do not follow the Code, any/all of the following actions may be taken by my club, County FA, league or The FA. I may be: Issued with a verbal warning from a club or league official Required to meet with the club, league or County FA Welfare Officer Required to meet with the club committee Obliged to undertake an FA education course Obliged to leave the match venue by the club Requested by the club not to attend future games Suspended or have my club membership removed Required to leave the club along with any dependents. In addition: The FA/County FA could impose a fine and/ or suspension on the club. Parent/Guardian Name: Signature: Relationship to Player: Date: Parent/Guardian Name: Signature: Relationship to Player: Date: Youth League Maidstone & Mid Kent Sunday League Kent Girls/Ladies Football League. Affiliated to Kent F.A. Page: 4 of 4

Gift Aid declaration for past, present & future donations Name of charity or Community Amateur Sports Club ------------------------------------------------------------------- Please treat as Gift Aid donations all qualifying gifts of money made today in the past 4 years in the future Please tick all boxes you wish to apply. I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 28p of tax on every 1 that I gave up to 5 April 2008 and will reclaim 25p of tax on every 1 that I give on or after 6 April 2008. Donor s details Title ------------- First name or initial(s) -------------------------------------------------------------------------- Surname -------------------------------------------------------------------------------------------------------------- Full home address ------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------- Postcode ---------------------------------- Date ------------------------------------------------------------------------ Signature ---------------------------------------------------------------- Please notify the charity or CASC if you: Want to cancel this declaration Change your name or home address No longer pay sufficient tax on your income and/or capital gains. If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

2014 / 2015 PLAYERS KIT ORDER FORM PLAYER NAME... VINTERS TEAM NAME... AGE GROUP... Please indicate the size with an X in the corresponding box below Shirt (Chest Size /inches) X 122-128 6-8 yrs 128-137 8-10 yrs BOYS 137-147 10-12 yrs 147-158 12-13 yrs X 158-170 13-15 yrs 36/38 38/40 MENS 41/43 X 44/46 XX 47/49 Shorts (Waist Size /inches) X 122-128 6-8 yrs 128-137 8-10 yrs BOYS 137-147 10-12 yrs 147-158 12-13 yrs X 158-170 13-15 yrs 28/29 30/32 MENS 33/35 X 36/38 XX 39/41 Socks (UK Shoe Size) X 12-2 2-5 5.5-7.5 8.11 X 11-14.5 Please consider growing room when considering your size requirements. Form to be handed in to the Vinters Kit Manager / your Team Manager.