Fulham | Kicks

Played at Kicks before?

First time at Kicks?

Player Details

First Name

Surname

Email Address

Create Password

Confirm Password

Emergency contacts

Emergency Contact Name 1

Emergency Contact Number 1

Emergency Contact Name 2

Emergency Contact Number 2

Do you provide consent for photos and videos to be taken for marketing purposes?

Yes

Do you have any disabilities or additional needs?

Yes

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Do you take any medication or have any allergies or medical conditions?

Yes

Please provide further detail

Will you be collected by a parent / guardian?

Yes

Parent/Guardian 1

Parent/Guardian 2

Enter Parent/Guardian Email