OPEN FOOTBALL GROUP New Participant Registration Form

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OPEN FOOTBALL GROUP delivers a range of FREE football coaching programs for CALD youth in the Newcastle region. Our specific focus is to enhance social inclusion for all new arrivals including those from refugee backgrounds.

OUR PROGRAMS

Holiday Clinics

After School Programs

1 to 1 and Small Group Sessions

Contact 0412 598 997

or

thomk@openfootballgroup.com.au to book.

PLAYER DETAILS

Full Name *

Date of Birth *

Country of Birth *

Languages at Home *

Player's School *

Did your child play for a football club in 2023? *

Yes No

If yes, which football club?

PARENT / GUARDIAN EMERGENCY CONTACT DETAILS

Contact Person 1 Name *

Relationship to Player *

Suburb *

Postcode *

Contact Person 1 Phone *

Contact Person 1 Email *

Contact Person 2 Name

Relation to Player

Contact Person 2 Phone

Contact Person 2 Email

PROGRAMS

Programs interested in *

1 to 1 coachingSmall group coachingHoliday clinics

PERMISSIONS AND APPROVALS

SOCIAL MEDIA - PERMISSION TO PUBLISH

I hereby give my permission for OPEN FOOTBALL GROUP to take photographs and/or videos of my child/ren whilst participating in OPEN FOOTBALL GROUP programs. OPEN FOOTBALL GROUP may from time to time wish to use these images/videos for printed and/or digital promotional materials such as Brochures, Website, and Social Media (Facebook, Instagram, Twitter). I understand that OPEN FOOTBALL Group will not use these photos/videos for any other purpose than the general promotion and marketing of OPEN FOOTBALL GROUP. I consent to OPEN FOOTBALL GROUP using photos of my child/ren for the purposes stated above, until I request otherwise in writing.

*

PERMISSION TO PROVIDE EMERGENCY / FIRST AID TREATMENT

I understand that injuries are a part of sport and accidental injury may occur whilst participating in football activities within OPEN FOOTBALL GROUP programs. I hereby give permission to OPEN FOOTBALL GROUP coaches to carry out appropriate first aid treatment on child/ren in the event of accidental injury.

*

In the event of a serious accident, injury or emergency that requires immediate medical attention, I hereby give OPEN FOOTBALL GROUP permission to seek urgent treatment from emergency services.

*

Signed *

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Date *