Player Details

Male Female

Yes No

Yes No

Player Parent/Guardian Details

Emergency Contact Details

Uniform Size

Medical

Yes No

Yes No

Membership Notes & Conditions

Players Parents/Guardians are required to cooperate and facilitate with the Committee of the Hampton Park United Sparrows FC by assisting on both practice and match days in accordance with a “Roster System” devised by the Team Manager.

Players Parents/Guardians are required and must remain with the child at all times during training/games. The club reserves the right to suspend or expel from the club any player, parent/guardian for failing to abide by the rule.

The club reserves the right to suspend or expel from the club any player, member or parent/guardian for failing to abide by the rules, policies, regulations and/or codes of behaviour. I acknowledge that the rules, policies, regulations and/or codes of behavior has been made available to me and that it is my responsibility to have read and understood my obligations under such rules, policies, regulations and/or codes of behavior.

I agree to be held personally liable for any fines incurred by the club as a result of a breach of FFV rules by either myself, family or the player/s being registered on this form and agree to reimburse the Hampton Park United Sparrows FC for the full cost of any such fines. Any failure to pay these fines will result in expulsion from the club.

Players shall not be permitted to continue training or play unless the registration fee has been paid in full. The minimum $100 fees (Juniors) and $200 (Seniors) must be paid at registration. The club reserves the right to withdraw any player or team that has not paid in full all Registration fees by the 9th of February 2018.

De-Registration/Refund Policy: A partial refund of registration fees will be given if the player has not yet been registered with the FFV, FFA and no uniform orders has been placed. If a MiniRoos (U7-U11) player has been FFV registered and it is week 1-4 of the season, the FFV component and a $30 Admin fee will be deducted, and the remainder of the fees refunded upon request. After week 4 of the season, no refund will be given unless there are extenuating circumstances as determined by the committee. A partial refund will be determined on a case by case basis as determined by the committee. The committee’s refund amount will be considered as final and uncontestable.

Accident and Injury Disclaimer: My child hereby agree(s) the Hampton Park United Sparrows FC Inc. (“The Club”) including any of its officers and/or members shall not be held responsible for any accident, illness or injury sustained by my child while playing at, or attending any function with, The Club. I understand that The Club carries only basic player’s insurance (provided through registration with FFV) and that it is my responsibility to arrange additional insurance cover. The Club recommends that every player takes out their own private health insurance. Although players are covered by the FFV Group Personal Accident Insurance whilst playing or training, The Club will not be liable for any cost not covered by the FFV insurance that shall be for the account of the players. I also give my permission for The Club to arrange medical attention for my child that may be deemed necessary including ambulance transport and I agree to pay for all such costs incurred. The Club agrees that it will do its utmost to contact me, if possible, prior to seeking medical treatment for my child, but I understand and accept that it may not be possible to do so in the circumstances. The Club agrees to contact me, or, if not contactable, my child’s emergency contact details, as soon as it is practicable to do so.

Agreement: We hereby apply for membership of the Hampton Park United Sparrows FC Inc. and undertake at all times to uphold and abide by the rules, resolutions, regulations and codes of behaviour of the Hampton Park United Sparrows FC Inc. My Child hereby applies to be registered as a player of The Club. I/My child agree(s) to abide by the rules of the Club’s Constitution and the FFV’s Fair Play in Sport Policy. I/My child agree(s) to accept the coach’s decision on placement and playing time within a team and that allocation of players to teams will be at the discretion of The Club, its Coaches and the Committee of Management.

I agree to the Terms and Conditions.

Occasionally the Club may want to include individual and/or group photographs in marketing and information material or to be published on The Club’s website or social media pages.

Do you give your consent for photographs of you or your child to be taken and used for these purposes?* Yes No