Sibling Child
Registration

Child info

Full name

Date of birth

School year

Gender

Full address

Halliford Colts Team

Halliford Colts Coach

Any medical conditions or medication being taken

Any allergies or allergic reactions to any medication

In a medical emergency, I authorise my child to be taken to the nearest
hospital for treatment YesNo

Any other relevant information

First Parent info

Full name

Date of birth

Relationship to child

Full address

Email address

Second parent (optional)

Full name

Date of birth

Relationship to child

Full address

Email address

I agree to receive updates from Halliford Colts over email or other electronic means
I confirm I have read and agree to the club’s and FA’s code of conduct