Please Note, all recorded information will be kept confidential.
Do Not complete this form as an alternative to the weekly training registration form.
First name: *
Date of Birth : *
School Year (as of 1/9/2018): *
SelectReceptionYear 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Year 11Year 12Year 13
Email (Child's address) (optional)
Home Address *
Disabilities / Medical conditions
Please enter N/A if no disabilities / medical conditions
Please enter N/A if there are no specific dietary conditions.
Parents/guardian Name: *
Parents/guardians contact number: *
Parents/guardians email address: *
Relationship to applicant: *
Contact number: *
Email address: *
First Aid: Do you consent to your child being given first aid treatment if required? *
Photo / Video Consent *
SJFA may take pictures or videos during some of its training sessions/games. Images or videos may appear on our printed publication/websites as part of some of its training sessions/games. Images or videos may appear on our printed publication/websites /general publicity. If you do not wish for an image or video to be used please select No.