Mooncoin Soccer Academy
Standard Player Registration Form Season 2016/17
Date of Birth (DD/MM/YYYY)
Allergies or Illnesses
Parent / Guardian Details
Gender: Male Female
Address Line 1:
Address Line 2:
Town / City :
Parent/Guardian's Email Address :
Parent/Guardian's Telephone No. :
I consent that the child named will be a registerd player to the Mooncoin Soccer Academy.
Once signed I agree that the player and I shall abide by the rules of the said academy.
Parent / Guardian Signature :
: (See Note 1 Below)
Note 1. Note 1 : The details you provide on this form will be used and stored by this club. Your data
will be stored in compliance with the Data Protection Acts and will not be shared with any
other body or organisation without your consent unless such sharing of information is
necessary for participation in football competitions and activities.
You will be provided with the opportunity to opt out of any future communications at any time.
If you receive a communication and wish to opt out please visit the club chairman or make
contact via the Academys’ Facebook Page https://www.facebook.com/Mooncoin-Soccer-