Adult Player’s Registration and Medical Consent Form 2025/26 Season

Player's Full Name

DOB required

Address

Postcode

Contact Tel No

Email Address

Emergency Contact

Contact Tel No

Do you suffer from any illnesses? Required

Yes

Do you suffer from any allergies? Required

Yes

Do you take medication for any illness? Required

Yes

If YES to any of the above, please give details

Name and Address of Player's Doctor

I agree that in the event of a medical emergency the above details will be made known to qualified medical person. In the event of an injury or illness occurring whilst this player is in the care of Old Rivingtonians Sports Club, I also authorise Club Officials, Managers, Coaches and any other person directly or indirectly involved with the club who have received the appropriate training (e.g. Emergency First Aid), to assist me with that injury or illness.

I confirm that I wish to register as a player of Old Rivingtonians Sports Club for the 2025/26 season

Player's Full Name

Today's Date required

Your Signature (Draw with your finger or mouse)

The registration fee is £45 per player. Your team manager will provide you with details on how to pay the registration fee.

At Old Rivingtonians Sports Club, your trust is important to us and we are committed to safeguarding personal data. Changes in data protection law came into play on 25th May 2018. It’s a positive step forward that increases your existing rights to data privacy and security, as well as improving the protection of personal information, which we take seriously. We have a privacy policy that reflects these positive changes, including how we collect, store and handle personal data. We also outline how you can contact us to exercise these rights. There’s nothing you need to do right now, but if you’d like to find out more, do take a look at our Privacy Policy at any time which can be found on our website (www.oldrivingtonianssportsclub.com)