PREMIER LEAGUE

PARENTS’ CONSENT: SCHOOL AGE ACADEMY PLAYERS
(a) In the day time
Address
Phone number
(b) At night
Address
Phone number
(c) Mobile Phone
7. Is there an alternative person to contact if you can’t be reached?
Name
Address
Phone Number
8. Is your child receiving any medical treatment? If so, please give details:
9. Is your child taking any medicine? If so, please give details:
10. Does your child have any particular diet requirements or any other special needs? If so,
please give details:
11. When did your child last have a tetanus injection?
12. Please give your child’s Doctor’s name, address and telephone number:
Form T5
401
APPENDICES TO THE RULES