Knocknacarra FC membership application 2009/10
Name *
Address *
Date of Birth *
School / College *
Home Phone *
Mobile *
E Mail *
Previous Clubs *
Playing Position *
Have you any ongoing illness ? Please tick *
Yes
No
If Yes please give details
Please read *
In so far as Knocknacarra FC will undertake to have in place current Public Liability Insurance throughout the season to protect all its members from personal liability in the case of a lawsuit we must point out that we do NOT provide personal injury insurance to any coach/player/member. Please read below and sign I the undersigned, accept that my child is preparing and training for football games with Knocknacarra FC at his/her own risk and I will be responsible for organising my own personal injury insurance for him/her if necessary. I do not expect Knocknacarra FC, the Galway & District League or the opposing team who so ever they may be to be held accountable for loss of earnings or medical or incidental personal expenses incurred whilst taking part in football with Knocknacarra FC.
Parent / Guardian. Please sign here *