Manager/Coach Details 2025

Thank you for completing this form. This allows us to ensure we have correct details for you and any next of kin should an emergency situation arise. Your photo will be used on our new website. If you have any questions about this form, please contact the committee.

Your Details

First name:(Required)

Last name:(Required)

Date of birth:(Required)

FAN number:(Required)

Telephone number:(Required)

Email address (this must match the email address registered on Wholegame):(Required)

Year you joined FCAM:(Required)

Do you have an FCAM Jacket?:

Yes

Required jacket size:

Small Adult

Medium Adult

Large Adult

XL Adult

XXL Adult

Your address

Address 1(Required)

Address 2

Town/city:(Required)

Postcode:(Required)

Next of kin

Next of kin name:(Required)

Next of kin telephone number:(Required)

Next of kin relation (spouse/parent etc):(Required)

Doctors details

Doctor name:(Required)

Doctor surgery name:(Required)

Doctor contact number:(Required)

Please let us know if there are any medical conditions we should be aware of (if none, please put N/A):(Required)

Your role and team

Please choose your primary role from the list below. If you also assist with other teams, please complete the additional options below

Primary role:(Required)

Primary role team:(Required)

Additional Team Coaches

As team manager, can you please enter the names of your coaching team and their role below

How many additional coaches do you have?:(Required)

First name:(Required)

Last name:(Required)

Role(Required)

First name:(Required)

Last name:(Required)

Role(Required)

First name:(Required)

Last name:(Required)

Role(Required)

Additional Coaching Roles:

Do you also coach for another team? Please select yes or no and then select the teams you also coach with

How many other FCAM teams do you coach with?:(Required)

Additional role team:(Required)

Additional role:(Required)

Additional role team:(Required)

Additional role:(Required)

Additional role team:(Required)

Additional role:(Required)

Manager/Coach Details 2025

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Your Details

Your address

Next of kin

Doctors details

Your role and team

Additional Team Coaches

Additional Coaching Roles: