Please complete the following form to register for FC Abbey Meads Mens Team for the 2023-24 Season. A copy of this will be sent to you and the team manager, Tiago. * = required field About You First name*: (required) Last name*: (required) Address*: (required) Address: (required) Town/City*: (required) Postcode*: (required) Telephone Number*: (required) Email Address*: (required) Your Date of Birth*: Your Photograph* Please take a picture of yourself, head and shoulders only (passport style) which is a requirement from the FA. This will be uploaded for identification purposes only Next of Kin Next of kin name*: (required) Next of kin relation*: (required) Next of kin contact number*: (required) Medical Issues Please use the box to indicate if you have any medical issues the club should be aware of (asthma, history of heart issues etc). If nothing, please enter N/A* Please read the below terms and conditions. Once you have done, please use either your finger (on a mobile device) or your mouse (desktop/laptop) to then sign this form. Terms and conditions I agree to pay signing on fee, match and training fees as indicated to me by the Team Manager. Match and training fees will be taken after each session via a mobile card reading device. An FC Abbey Meads shirt will be issued to me before each match and I will return it to the Team Manager at the end of each match. Any fines incurred whilst playing for the club are to be paid within 14 days of being received.