Futsal Booking Form

Parent/Guardian's Name *

First Name

Last Name

Have you/Do you represent your county/district? *

Yes

No

Name of authorised individual *

Please enter the names of the individuals you authorise to collect your child other than yourself

First Name

Last Name

At Unique FA we regularly take photographs and video footage of training and events for marketing purposes. The images are stored securely and used for our newsletter and marketing materials. We also use videography for player analysis purposes. If you are happy to provide your consent please tick YES. You can withdraw your consent at any point. *

We often using photography & video recordings for marketing and player analysis purposes. Please tick YES to provide consent for your child.

Yes

No

How did you hear about us? *

Social Media

Website

Unique FA Coach

Banner

Flyer

Word of mouth