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Open Age Player Registration 2025

Important – Please Read Before Proceeding

Monthly subs payment details have now been shared with all players.

Before completing the registration form, please ensure you have read and acknowledged the CoC’s below and the shin pad policy:

Parent/Spectators Code of Conduct

Player Code of Conduct

Shin pad policy

Player Registration Form

Team *

Players Name *

First

Last

Players Full Address *

Players Date Of Birth DD/MM/YY *

Contact Number *

First

Last

Contact Email *

FAN Number (FA No. if known)

Emergency Contact Name 1 *

First

Last

Emergency Contact Number 1 *

Any Medical History That We Should Be Aware Of? *

Any Allergies? If YES please state *

Yes - please state below
No

Allergies

Does The Player Suffer From Diabetes? *

Yes
No

Any History Of Heart Disease In The Family, Parents & Grandparents? *

Yes - If yes please state below
No

Family Members With Previous Heart Disease? i.e. Mother

Does The Player Suffer From Epilepsy? *

Yes
No

Does The Player Suffer From Asthma Or Any Other Related Breathing Problems? *

Yes - If yes you need to provide your coach with an inhaler labelled with your childs name
No

Is The Player Taking Any Medication? *

Yes - If yes please state below
No

The Player Is Taking The Following Medication

Are There Any Other Medical Or Physical Conditions That We Need To Be Aware Of? *

Yes - If yes please state below
No

Medical or Physical Conditions

Do Runcorn Saxons FC Have Consent To Send The Player To Hospital If Required? *

Yes
No

If the Player is U18 do Runcorn Saxons FC Have Consent To Send The Player To Hospital If Required? *

Yes
No
N/A

Do Runcorn Saxons FC have consent to use players photo for Club PR/social media. *

Yes
No

If you answered No, please give reason.

I know the Adult Club Welfare Officer (ACWO) is Ciaran Clotworthy and that she can be contacted on 07876 752868 *

Yes
No

By Submitting This Form You Are Granting that you the Player Agree To Participate In ALL RSFC Football Activities. *

Yes
No

As the registered player, I have read and I agree to abide by the rules and regulations of Runcorn Saxons Football Club stated in the Players Code of Conduct *

Yes

As the registered player, I have read and I agree to abide by the the rules and regulations of Runcorn Saxons Football Club stated in the Shin Pad policy *

Yes

Runcorn Saxons FC © 2025 - All Rights Reserved

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About Us
Runcorn Saxons FC Teams
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