City Of Stoke FC

First Name *

Last Name *

Email *

Phone *

Date of Birth *

Emergency Contact Name *

This contact would be used in the event of an emergency and us being unable to reach you.

Emergency Contact Number *

Relationship to Family *

Secondary Emergency Contact Name *

This contact would be used in the event of an emergency and us being unable to reach the first emergency contact.

Secondary Emergency Contact Number *

Relationship to Family *

Data Usage Agreement *

COSFC will only use your contact information for the purpose of registering and communicating with you regarding your child’s football membership.

COSFC will not disclose or share any details of name, address, medical or contact details with any third-party other than to the relevant local or county football leagues and any United Kingdom Government Agency should it be specifically requested.

As a valued member of our football club, your privacy is important to COSFC and I would like you to understand what happens with your data. Key information
• COSFC only use your personal data for the purpose for which you provided it.
• You can always get in touch to ask COSFC what personal data COSFC hold and to correct and update your data if anything changes.

Communications In some cases COSFC may get in touch with specific messages such as clarification of registration details, collection of fees/fines and the return of kit.

I Understand and Agree

I understand that failure to make subscription payment will result in the automatic cancellation of the player subscription, after which the player will be stopped from playing games and training until the payments due are resolved. *

If you have financial difficulties that you may need to contact us for support, please speak to your team Manager in confidence, or if you prefer you can email welfare@cityofstokefc.co.uk

Yes I Understand and Agree

Password *

Confirm Password *

Parent Details