2017-18
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Surrey Blues Season 2017/18
Chairman’s Welcome for Season 2017-18
If you are a new member, we welcome you to our club. If you are a
returning member, I would like to take this opportunity to thank you for
your continued support. Let us make this season a successful and fun time
for everyone.
Here at Surrey Blues you will have the opportunity for friendships,
enjoyable football and enjoyable social occasions.
Together we can look forward to a great season with some enthusiastic
football, and remember we always promote fair-play and sportsmanship.
Good luck and have fun !
Ken Whelton
Chair of Surrey Blues
PLEASE COMPLETE PAGES 7-11 AND RETURN TO A COMMITTEE
MEMBER OF SURREY BLUES AS SOON AS POSSIBLE.
IT IS IMPORTANT THAT WE RECEIVE THESE FORMS, BECAUSE
WITHOUT THEM, PLAYERS WILL NOT BE ALLOWED TO TAKE PART
IN TRAINING SESSIONS OR MATCHES.
MANY THANKS,
The Surrey Blues Committee
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Surrey Blues Season 2017/18
Surrey Blues Overview:
The programme focuses on enabling young adults with a range of learning
difficulties and/or learning disabilities to participate in organised
coaching and fun footballing activities, in a safe, caring and enjoyable
environment designed to maximize player’s abilities.
The scheme offers a vibrant football for all educational and social
programme supporting Adult players, as well as running weekend football
fun festivals and a coaching programme for young adult players interested
in further developing football and independence skills. The programme
aims to give each player:
* A structured specialist coaching programme with experienced disability
coaches, developing individual, team and game skills for all levels of
abilities.
* A challenging range of competitive regional and national fixtures, ability
banded to suit the needs of each individual.
* An opportunity to compete against local top teams in the Surrey
Football Association Football-For-All program. We also play friendly
matches, home and away and enter into other local tournaments.
* Improved knowledge of the game and opportunities to develop healthy
living, independence, basic and life skills.
* We have a player dedicated web-site www.surreyblues.co.uk
"Follow us on twitter at - @surreybluescfc
Tom Battley
Manager & Head Coach
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Surrey Blues Season 2017/18
Volunteers / Committee
Tom Battley – Manager & Head Coach
Denise Heffernan - Players Community & Welfare Officer
Caroline Hunter – Trustee
Angela Maria Zarate – Assistant to Manager
Paul Sears – Coach
Sue Whelton – Minutes Secretary
Ken Whelton – Chair & Secretary
Roger Marsden – Treasurer
Duty Phone number is 07500 597 816
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Surrey Blues Season 2017/18
Subscriptions:
We operate a two term programme of payment.
Subs are paid either:
Yearly
Payment
Term 1
Payment
Term 2
Payment
If you only play
Friday or Sunday
£75
£40
£35
If you play both
Friday and Sunday
£100
£50
£50
Or
All subs should be paid by the second training session of each
term. September – December and January – March
Anyone who feels they are not able to pay subs in a lump sum can
pay weekly with prior agreement; the amount will be decided
between the player and Denise Heffernan, our Welfare Officer.
If anyone feels that they are unable to pay subs due to severe
hardship please speak to Denise Heffernan or one of the Surrey
Blues Trustees. We do at times have sponsorship for players
who may be struggling.
Players are expected to:
1. Provide a bottle containing water to drink during breaks
2. Wear shin pads – players will not be permitted to train or
take part in any games without shin pads.
3. Inform Surrey Blues of any new medical conditions
4. Inform Surrey Blues of any change in contact numbers.
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Surrey Blues Season 2017/18
Logging onto the ‘Surrey Blues Website’.
1. Click on – Internet Explorer or Google Chrome etc.
2. Type in web address –
www.surreyblues.co.uk
3. The website will now appear.
All the information you need to
know about the club will be posted
on the pages found here.
The website is updated regularly,
any changes to training sessions,
or matches etc will appear here.
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Surrey Blues Season 2017/18
SURREY BLUES
CONSENT FORM FOR NON-RESIDENTIAL VISITS
Players Name
I agree to my son taking part (or I am over 18 years old and I agree to taking part*) in any Surrey Blues
organised non-residential visit(s). I confirm that he / I am* medically fit to undertake such visits and I
agree to keep Surrey Blues informed of any changes in medical condition(s) relevant to the visit(s).
I acknowledge the need for discipline and responsible behaviour on the part of my…. son during such visit(s)
as detailed in the Code of Conduct form.
* delete as appropriate
Medical Information
a)
Has your son had any of the following :
Asthma or bronchitis
YES
NO
Heart condition
YES
NO
Fits, fainting or blackouts
YES
NO
Severe headaches
YES
NO
Diabetes
YES
NO
Allergies to any known drugs or medication
YES
NO
Any other allergies e.g. material, food, insect bites
YES
NO
Other illness or disability
YES
NO
Any recent contact with contagious diseases
YES
NO
If YES please give details on a separate sheet which should be firmly attached.
b) Has your son received vaccination against
tetanus in the last 5 years?
YES
NO
c) Does your son suffer from any conditions requiring medical treatment from either your family doctor or
hospital, including medication? If YES, please give brief details, including times and details of
medication :
d) Does your son have any special dietary requirements? If YES, please give details
e) Has your son been given specific medical advice
to follow in emergencies?
YES
NO
If YES please give details here, including dosage of any medication/tablets)
f) I confirm that my son is medically fit to undertake the visit(s) and that any medical complaint that he
may have will not risk his health or safety or that of others on the visit(s).
I undertake to inform the committee as soon as possible of any change in the medical circumstances
between the date signed and the commencement of the visit(s).
Signed :
Date :
(Parent/Guardian or Player if over 18)
Address :
Telephone Numbers
Work :
Home :
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Surrey Blues Season 2017/18
SURREY BLUES - VISITS
CODE OF CONDUCT
I UNDERTAKE TO COMPLY WITH THE FOLLOWING CODE OF CONDUCT. If I do not, I
understand I may be asked to return home unaccompanied at my own expense.
1.
Instructions given by the coaches/committee must be complied with at all times.
2.
Players should present themselves at ALL times in an acceptable manner; both dress and
conduct.
3.
Substances/items which are illegal in the UK will not be purchased, consumed or held at any
time during the visit. Any player taking prescribed medication must inform the tutor in
charge of the nature of the prescription.
4.
Players are personally held responsible and liable if they lose or damage either their own or
another person’s property.
5.
During any time that the players are not supervised by the coaches/committee – i.e.
FREE OR UNSUPERVISED TRAVEL TIME – they are responsible for their own actions to
ensure that they respect the health and safety of themselves and others. Coaches cannot
be held responsible for accidents, loss or damaged caused or sustained by any player. Any
criminal action by the player will be reported to the authorities. When travelling abroad
players must also recognise that they are subject to the laws and systems which prevail in
that country.
Any costs associated with such action will be the responsibility of players/parents.
6.
All players should be punctual at all times. Those who are late for the
outward/return journey may be left behind
TO BE COMPLETED BY THE PLAYER
I have read and clearly understood the Code of Conduct and I undertake to comply with it.
Signed………………………………. (player) Name (BLOCK CAPITALS)………………………………………………………..
Date…………………………………………. Home Tel No…………………………………………………………………………………………….
We reserve the right to exclude players from taking part in all trips if they have not
demonstrated, or cannot demonstrate, their reliability and responsibility to the satisfaction
of the committee.
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Surrey Blues Season 2017/18
Registration Forms
We want to ensure that your son enjoys our football sessions in a healthy, caring and safe environment.
To help us to do this we need to build a profile of each player’s health, physical emotional and learning
needs. The details given are confidential and will only be shared with the coach responsible for the
team. If your son has any special nutritional, dietary requirements or food allergies, it is crucial that
these are also recorded. If your son is taking any form of medication, please let the coach know
immediately.
Full name:
______________________________________________________________________
Date of Birth: _________________________ Age: ______________________________
Parent / Guardian Name:
______________________________________________________________________
Parent / Guardian Address:
______________________________________________________________________
Town: ______________________________ County: _____________________________
Post Code: _____________________________ Home Telephone: ___________________
Mobile:
_____________________________________________________________________
email:
______________________________________________________________________
Please give 2 emergency contacts:
Emergency Contact 1
Name
Telephone
Emergency Contact 2
Name
Telephone
Statement of Disability / Special Need
______________________________________________________________________
______________________________________________________________________
Has your son ever displayed any form of challenging behavior? If the answer to this question is yes
please give details and strategies that have proved effective in the past.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
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Surrey Blues Season 2017/18
Any symptoms / actions we need to be aware of?
______________________________________________________________________
______________________________________________________________________
Any special dietary / nutritional needs?
______________________________________________________________________
______________________________________________________________________
Medical / diagnosed conditions
______________________________________________________________________
______________________________________________________________________
Current Medication being taken and dosage
Medication
Dosage
Medication
Dosage
Does your son suffer from epilepsy? If the answer is yes please give details below
YES
NO
What action should be taken?
______________________________________________________________________
______________________________________________________________________
How many year(s) has your son played football for?
______________________________________________________________________
I do / do not (delete where appropriate)
I authorise Surrey Blues to photograph my son provided that such photographs may be used only for
information of future publicity purposes, or for any other purpose which, in the judgment of Surrey
Blues may help to further inclusion into sports for disabled people. These purposes may involve print,
broadcast or web-based media.
Signature of Player _____________________________________________________
Signature of Parent / Guardian ____________________________________________
Date ________________________________________________________________
Thank-you for taking the time to complete pages 6 - 10 of this booklet. Please return at the next training session. If any details
you have given change over the next season it is your responsibility to inform a member of the Surrey Blues coaching team.
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Surrey Blues Season 2017/18
Surrey Blues Player Profile
Surrey Blues has its own website www.surreyblues.co.uk we regularly
update player profiles. If you wish to have your details added we require
some information from you.
I give permission for my details & photograph to be added to the Surrey
Blues website.
Signed player (over 18), parent/guardian …………………………………………………
Name: …………………………………………………………………. DOB: …………………………………
Address: ……………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………….
Telephone number: …………………………………………………………………………………………
Mobile number: ……………………………………………………………………………………………….
How many years have you played football? ……………………………………………….
What position do you play? ………………………………………………………………………….
Use the next few lines to tell us a little bit about yourself.
……………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………….
…………………………………………………………………………………………………………………………….
Thank you. Please remember to have your photograph taken for your
profile picture – Denise or Angela can do this for you.
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Surrey Blues Season 2017/18