1. Medical Emergency
In the event that the emergency contact cannot be reached and the
above named player is injured whilst playing or travelling to/from
football, I hereby give my consent for medical treatment to be
administered:
2. Imaging
HETHERSETT ATHLETIC FOOTBALL CLUB
REGISTRATON FORM 2015/2016
Hethersett Athletic Football Club welcomes all players for the new
season. Please read and complete this registration form before taking
part in any club activities. Complete details as clearly as possible
Team:
Men Sunday
Men Saturday
Women
Youth
Name:
Address:
Imaging is a vital tool in raising the profile of HAFC. It is also a way of
obtaining publicity for our sponsors. Imaging may take the form of
photographs in the media or on our website. In signing this form I
accept the following conditions and have ready and understood the rules
on imaging:
 Players may be photographed during matches or training
sessions
 Such photographs may be used for publicity purposes and/or
published in the press. They may also be captioned
 The copyright of all such images will remain the property of
HAFC
 There will be no restriction on the sensible and considerate use
of imaging equipment at club events
Postcode:
I wish to become a member of Hethersett Athletic
Football Club and agree to:
Telephone No:
Date of Birth:

The above statements;
1. Medical Emergency, and
2. Imaging
 Abide by the rules of the club, and
 Follow the Code of Conduct
Email Address:
Emergency Contact
(Name):
Emergency Contact
(telephone no.)
REGISTRATION
FEE COLLECTED
YES / NO
Manager Signature………………………………
Player’s Signature, or parent/guardian if under 18 years
Please indicate if you have any medical conditions we should be aware
of, e.g. asthma/allergies:
Code of Conduct for Youth Players
Code of Conduct for Youth Players
Code of Conduct for Adult Players
When playing football, I will:
On and off the field, I will:
 Always play to the best of my ability
 Play fairly – I won’t cheat, complain or waste time
 Respect my team-mates, the other team, the referee &
my coach/manager
 Play by the rules, as directed by the referee
 Shake hands with the other team and referee at the end
of the game
 Listen and respond to what my coach/team manager
tells me
 Talk to someone I trust or the club welfare officer if
I’m unhappy about anything at my club
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If you have any questions or concerns please contact
Adhere to the Laws of The Game
Display and promote high standards of behaviour
Promote Fair Play
Always respect the match officials decisions
Never engage in public criticism of the match officials
Never engage in offensive, insulting or abusive
language or behaviour
Never engage in bullying, intimidation or harassment
Speak to my team-mates, the opposition and my
coach/manager with respect
Remember we all make mistakes
Win or lose with dignity. Shake hands with the
opposing team and the referee at the end of every
game
Club Welfare Officer
Sue Buffin – 07733 190728 or [email protected]
Asst Club Welfare Officer
Wayne Johnson – 07590 908461 or
[email protected]
Club Secretary
Mel Perkins MBE – 07767 795184
HETHERSETT ATHLETIC FOOTBALL CLUB
(Ref: thefa.com/Respect)
Player to retain this page of registration form