Page 1 of 6
BTFC Player Development Academy - New & Existing player registration form for 2019 - 2020 season - all age groups

Please do not complete and submit this form unless your child has attended the trials and been accepted in to a team. You will need a squad number, player image & image of players birth certificate both in .jpg format maximum size of 100 kb you will also require a password (Squad number & password will have been given to you in the offer letter) to submit form & pay the £30.00 registration fee which will be done through PayPal or Debit/Credit card - we cannot except payment by any other method.

Need help in converting your images to correct size maximum 100kb and .jpg format see here Resize Image you can use this free online software to resize both player and birth certificate.

Please tick box below before you can proceed to confirm that your images are ready.

Invalid Input

Should you have any issues using this form please contact Mike on mike@brackleytownfc.co.uk.  Please do not contact/email anyone else as this will be your quickest way to get an answer to your problem

Items marked with an * are required.
Please provide the details of two people who we can contact if required, one of which must be a parent/guardian
Primary Contact Details Parent/Guardian
Please specify your name
Please specify relationship to child
Invalid Input
Please specify your email address.
Please specify land line phone number, no spaces
Please specify mobile phone number, no spaces
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Second Contact Details
Please specify your name
Please specify email address.
Please specify mobile phone number, no spaces
Please specify land line phone number, no spaces
Please specify your relationship to child
Items marked with an * are required.
Players Personal Details
Please input players name
Invalid Input
Invalid Input

Please enter below the squad number you have been given

Invalid Input
Education
Please specify your childs name.
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Please specify school landline phone number, no spaces
Medical Details
Please specify your doctors name
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Please specify doctors land line number, no spaces
Invalid Input

If yes, please provide details of the condition for which the player is taking medication, if none state 'None'

Invalid Input
Invalid Input

If yes, please provide details, if none please state 'None'

Invalid Input
Invalid Input

If yes, please provide details, if none please state 'None'

Invalid Input
Items marked with an * are required.
Disclosures

• Parent/Guardian - I agree to abide by the Rules and Codes of Conduct of Brackley Town Football Club, the league, and the FA

Invalid Input

• Parent/Guardian - I give my permission for any appropriate medical treatment to be carried out

Invalid Input

• Parent/Guardian - I agee that photos or video may be taken whilst the above named player is taking part in any club or league organised activity

Invalid Input

• Player - I agree to abide by the Rules and Codes of Conduct of Brackley Town Football Club, the league, and the FA

Invalid Input
Items marked with an * are required.
Attachments

File formats: .jpg ONLY. Maximum file upload size 100KB

Invalid Input
Invalid Input
Items marked with an * are required.
Finally to complete registration you must enter the password you have been given and accept our Terms & Conditions

Terms & Conditions - Please read our terms & conditions here and tick box below to confirm acceptance

Invalid Input

Safegurading Policy - Please read our Safeguarding Policy here and tick box below to confirm acceptance

Invalid Input

Our Privacy & Data Protection Policy can be read here

You will be added to our mailing list

 

BTFC Newsletters keep you updated on what’s new at Brackley Town FC including:

Latest team news - Football in the community news - Saints Community project news - And more

These Newsletters will normally arrive in your inbox at most once a month unless we have some urgent news that we think you might be interested in. There is an unsubscribe link on all newsletters, so you can unsubscribe at any time

 

Invalid Input
Total to pay
£0.00
Help us prevent spam
Items marked with an * are required.

Once form is completed click on 'Confirm and pay for my order' below and you will be taken to 'PayPal' where you can pay through 'PayPal' or by Debit/Credit Card.

You will receive an automated email confirming your purchase

Attached to the confirmation email will be a welcome letter and an invoice for registration fee and subscription

Thank you for your support BTFC