Junior Representative Team Player Information and Agreement

Junior Representative Player Information and Agreement

  • The contact and medical information collected in this form will be collated and distributed to your child's team Coach and Manager for their reference while your child is in their care.
  • DD dot MM dot YYYY
  • Please select the team your child has been placed in
  • Do you wish to provide an alternate or emergency contact ?
  • Please provide any information regarding home life that the Coach or Manager should be aware of.
  • Does your child suffer from any medical condition that the Coach or Manager should be aware of? If Yes, please provide details
  • Does your child suffer from any allergies that the Coach or Manager should be aware of? If Yes, please provide details.
  • The following information will only be used in an emergency situation if the parent or emergency contact is not available.