Name - Player *

First Name

Last Name

Date of Birth *

Currently our sessions are for anyone aged 13-16.

MM

DD

YYYY

Gender *

Male

Female

Other

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name - Parent/Guardian *

First Name

Last Name

Emergency Contact Name

Ignore if same as Parent/Guardian

First Name

Last Name

Emergency Phone Number *

(###)

###

####

Emergency Contact Name #2

First Name

Last Name

Emergency Phone Number #2

(###)

###

####

Player Code of Conduct: *

I understand and agree to abide by the rules and regulations set forth by the Cornwall Monarchs AFC Youth Program. I will demonstrate good sportsmanship, teamwork, and respect towards coaches, teammates, opponents, and officials.

Agree

Parent/Guardian Consent: *

I give permission for my child to participate in the Cornwall Monarchs AFC Youth Program. I understand the risks involved and release the organisers, coaches, and volunteers from any liability for injuries sustained during participation.

Agree

Photography Consent Form:

I hereby grant permission for photographs, videos, or other media recordings of my child to be taken during their participation in the Cornwall Monarchs AFC Youth

Agree

Disagree