Duffers United/Barry Town United Walking Football Registration

 

 

 

 

 

(This above form requests important information that enables us to register players with Duffers United/Barry Town United Walking Football and better manage the health and safety of anyone who intends to train with or represent DUWF/BTUWF).

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We will also use the form to provide you with appropriate match kit and tracksuits if you provide the sizes required 

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Please return this form to duffersunited@virginmedia.com

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If you are unable to complete and email the attached form please email the answers to all of the following questions to duffersunited@virginmedia.com

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1. Full Name

2. Date of Birth

3. Address

4. Town/City

5. County

6. Post Code

7. Home Tel no.

8. Mobile Phone no.

9. Emergency contact name

10. Emergency contact Tel no.

11. Medical conditions

12. Medication

13. I want to register to play in the Wales Walking Football League Yes/No

14. Team shirt size

15. Team shorts size

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On completing this information you are giving Duffers United Walking Football permission to use the above information for the following purposes:

 

• Contact your emergency contact in case of emergency

• Pass medical information to emergency services

• If Yes above, to register you to play in the Wales Walking Football League

• Provide you with team kit for matches and tournaments

 

Duffers United Walking Football®/Barry Town United Walking Football will store the information securely and use it only for the purposes declared above.

 

Duffers United Walking Football®/Barry Town United Walking Football will not pass the above information to a third party other than for the purposes stated above

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