Registration Forms

“Where The Kids Come First” 

Chapeltown Youth Development Centre

Prince Phillip Centre, Scotthall Avenue, LS7 2HJ

Tel: 0113 262 3233

Email: cfydc@yahoo.co.uk Website: www.cfydc.com

 

CYDC REGISTRATION FORM

Please complete the details below and return as soon as possible to the CYDC Administrator. 

Players Name ................................................................. 

Date of Birth ................................

Address .....................................................................................................................................................

 ........................................................................                            

Post Code ..........................

Contact Number ..............................................

Mobile ..........................................

Email Address .........................................................................

Any Medical Condition ........................................................................................

 

Both parent and participating player are required to provide their consent for the use of photos, filming or video clips.

 

For the Parent/Carer

I give / I do not give (please delete where applicable) consent that any photographs, filming or video clips of the above named person can be used as exhibits, or for promotion and publicity purposes by CYDC.

Parent / Carer Signature .................................................................. Date .....................................,,,,

 

For the Player

I give / I do not give (please delete where applicable) consent that any photographs, filming or video clips of the above named person can be used as exhibits, or for promotion and publicity purposes by CYDC.

Participant Signature ..................................................................... Date ........................................