Game On & Cassiobury Rangers JPL Registration Form

Child's Name*

First Last

Child's Date of Birth*

Child's Address*

Street Address Address Line 2 City County Postcode

Child's School*

Any Medical Conditions

(Please specify any conditions we should be aware of)

Parent/ Guardian Name*

First Last

Phone*

Email*

Child's Football Club

(If your child already plays at a Football Club please detail their club's name)

Child's Clothes size*

From the following 5 options please indicate what clothes size your child will need for their Game On training kit - Years 11-12, Years 13-14, Small Adults, Medium Adults or Large Adults

Child's Sock Size*

Please indicate your child's sock size from the following 3 range options (All adult sizes) - 2 to 5, 6 to 8 or 9 to 11

Match Day Baselayer

Game On provide the Cassiobury Match day kit at no cost unless its lost or damaged. Parents can add on a Maroon baselayer for their child to wear in matches but there is an additional cost of £10. If you would like your child to order a baselayer please write in the box below their size - Years 11 and below, Years 12-13, Small Adults or Large Adults

Code of Conduct*

My child and I have read, understood and will adhere to the Game On JPL Code of Conduct

Image Consent

Game On and Cassiobury Rangers may take photos and videos of the JPL Squad training and matches for promotional purposes. Please confirm your consent to your child's inclusion in any photography and videography.