Somerset Junior Premier League
Affiliated to the Somerset FA
PLAYER REGISTRATION FORM
Age Group: U7 (Year 2) / U8 (Year 3) – 5 v 5 format
DATE_____________________________
U9 (Year 4) / U10 (Year 5) – 7 v 7 format (Please Circle)
I (player’s full name) ___________________________________________________________would like to be registered as a Playing Member of
__________________________________________________Football Club, in the Somerset Junior Premier League for the season 2016/2017.
Players date of birth: ______________________ School Year for 2016/17___________ School attended___________________________________
The Somerset Junior Premier League is an FA Respect League. For a Player’s registration to be accepted by this league, the player
must have read the Respect Code of Conduct for Players and agree to abide by its content. I have read and understand the RESPECT
CODE OF CONDUCT FOR PLAYERS and agree to abide by its content and understand that the consequences for failing to do so could
be severe and may result in my registration being withdrawn. All players must play in the correct age group as per their school year.
Player’s signature _______________________________________________________________________________
Home Address: ______________________________________________________________________________________________________________________
___________________________________________________________________________________Postcode__________________________________________
I, as a Parent/Guardian, have read the RESPECT CODE OF CONDUCT FOR PARENTS/SPECTATORS and agree to abide by its content
and understand that the consequence of failing to do so could be severe for myself and the registering club concerned.
This may ultimately lead to attendance at league games being declined and other disciplinary action being taken.
Player Registration Fee - £6 per player – Please make cheques payable to – Somerset Junior Premier League
Parent/Guardian’s Name: ________________________________________Parent/Guardian signature_______________________________________
Email Address: ________________________________________________________ Contact Number: ___________________________________________
Please register the above player as a Playing Member of my Club in the above League for the season 2016/17
I verify the Player’s DOB is_____________________________as shown on Player’s birth certificate & School Year 16/17 is Year_________
IMPORTANT – PLEASE NOTE: Parents/Guardians & Club Secretaries should note that Players may sign for one Club ONLY and that a
transfer may not be granted where an objection is received. All such matters will be referred to the Executive Committee for
adjudication.
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THE DETAILS BELOW TO BE COMPLETED AND VERIFIED BY THE CLUB SECRETARY – please include £6 registration fee
UNDER ________________DIVISION, SOMERSET JUNIOR PREMIER LEAGUE
DATE____________________________
CLUB ___________________________________________________________________________________________________________
PLAYER’S NAME _________________________________ DATE OF BIRTH ________________SCHOOL YEAR 16/17____________________
ADDRESS ________________________________________________________________________________________________________
___________________________________________________________________POSTCODE____________________________________
SJPL - DATE RECEIVED_____________SPJL - PAYMENT REC’D____________SJPL - REGISTRATION SECRETARY _____________
THIS FORM MUST BE RETURNED TO THE LEAGUE REGISTRATION SECRETARY –
Dave Knight, 18 Market Avenue, St Georges, Weston-super-Mare, BS22 7RB