PLAYER’S REGISTRATION FORM

To be completed in BLOCK CAPITALS.

All sections marked with an asterisk (*) are mandatory.

Please help The Football Association by also completing the reverse side of this Form

* Name of Team: / Age Group
* Surname: / * Forename (s):
* Home Address:
* Post Code:
* Date of Birth (dd/mm/yyyy): / * E-Mail: ______
A Copy of Birth Certificate MUST accompany this Registration Form if the Player has not been a Registered Player in this League before
* Club last Registered with: / * Last Registration Number
Medical Conditions or Allergies?
The Football Association will hold your information in a central database, in accordance with the privacy policy as set out on the reverse side of this Form. Please provide the following information to ensure that your details are not entered into this database more than once:
* Place (Town) of Birth: / * Mother’s Maiden Name:

a) I have read the Privacy Policy on the reverse of this Form, and understand the manner in which my personal information will be used.

b) I have been shown, read and agree to abide by The FA Respect Code of Conduct

For completion by Player

I wish to register as a Player for the above Team. I have signed no other form this season

for any other team or club playing in this League and/or Competition/s and agreed to abide by the code of conduct (see reverse)

* Player’s Signature / * Date Signed
For completion by Club Secretary and Parent/Guardian
Please register this Player for the above Team for the S-Tech Girls’ League and Competition/s.

We confirm that the information given on this Form is correct and agree to abide by the code of conduct (see reverse)

* Club Secretary Name:
* Signature / * Date:
* Parent/Guardian Name:
* Signature / * Date:

The following question is optional, but we would be grateful if you can take the time to tick the appropriate box.
The information will be used by The Football Association to carry out a statistical analysis in accordance with the privacy policy as set out below
White: / British / r / Irish / r / Other / r
Mixed: / White & Black Caribbean / r / White & Black African / r / White & Asian / r / Other / r
Asian or Asian British: / Indian / r / Pakistani / r / Bangladeshi / r / Other Asian / r
Black or Black British: / Caribbean / r / African / r / Other Black / r
Chinese or other ethnic group: / Chinese / r / Other Ethnic Group / r

PRIVACY POLICY

The Cambridgeshire Football Association Privacy Policy can be found on the League Website.

Please read this Policy carefully to see how we will treat the information that you provide to us.

We, the Cambs. League/Cambridgeshire Football Association will take reasonable care to keep your personal information secure and prevent any unauthorised access or unlawful use of it. We process all personal information in accordance with applicable UK data protection legislation.

How we will use your information

We will use your personal information to register you as a player in the League.

We may send you information, from time to time, about the League. If you do not want to receive this information please write to us at the Cambridgeshire Football Association Limited, Bridge Road, Impington, Cambridge, CB24 9PH.

We may also provide your personal information to third parties who may send you information on products and services that may be of interest to you. If you do not wish us to pass on your information, please tick the opt out box on the front side of this Registration Form.

Sharing your information

We have been asked to collect details of your ethnicity on behalf of The Football Association Limited (“The F.A.”) and to provide your other personal information to The F.A. to allow The F.A. to carry out statistical analysis. The analysis will identify the demand for football in certain areas, trends for participation in the game and allow The F.A. to direct its resources to those areas of the game which are in most need, such as facilities and football development. The analysis will be carried out on a depersonalised basis and The F.A. will not disclose the results of the analysis, except in an anonymous form.

The F.A. will retain your information in a central database. You have been asked to provide details of your mother’s maiden name and place of birth for de-duplication purposes to ensure that your details do not appear twice on the database.

The F.A. may send you information on football related matters, which may be of interest to you. If you do not want to receive this information please ensure that you have ticked the opt out box on the front side of this Registration Form.

Please note, The F.A. will only send information to persons aged over 18.

Updating your information

If any of your information changes you must update us so that we can keep an accurate record of your information.