Universal Football Club
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Player Registration
Complete this form to register your child with Universal Football Club
Player Information
First Name *
Last Name *
Date of Birth *
Gender *
Select Gender
Male
Female
Other
Nationality *
FA Number (FAN)
Contact Information
Address *
City *
Postcode *
Phone Number *
Email Address *
Parent/Guardian Information
First Name *
Last Name *
Phone Number *
Email Address *
Relationship to Player *
Select Relationship
Mother
Father
Legal Guardian
Other
Emergency Contact 1
Contact Name *
Phone Number *
Relationship to Player *
Emergency Contact 2
Contact Name *
Phone Number *
Relationship to Player *
Medical Information
Medical Conditions
Allergies
Current Medications
Doctor Name
Doctor Phone
Football Information
Previous Club
Preferred Position
Select Position
Goalkeeper
Defender
Midfielder
Forward
Any Position
Playing Experience
Insurance Information
Insurance Provider
Policy Number
Website (leave blank):
URL (leave blank):
Company (leave blank):
Terms and Conditions
Social Media Terms and Conditions
I accept the Social Media Terms and Conditions *
Club Policy Terms and Conditions
I accept the Club Policy Terms and Conditions *
Privacy Policy Terms and Conditions
I accept the Privacy Policy Terms and Conditions *
Submit Registration
