Player Registration Form - season 2021-22

Parental / Guardian Consent
In the event that my son/daughter is injured whilst playing football/travelling to and from events, and I cannot be contacted, I agree to my child receiving medical treatment.
By submitting this form I and my son/daughter agree to abide by the CJBFC codes of conduct and other rules and policies set out by CJBFC which meet the requirements of the FA‘s Respect Campaign.
I understand that I must keep up with my subscriptions and that failure to do so could mean my son/daughter will not be able to play in matches. If subscriptions are not paid in full, or monthly payments are not up to date, then players will not be allowed to play in further matches, sign for the following season or receive an end of season trophy.
Playing kit remains the property of CJBFC and must be returned to the club in the event of my child leaving before the end of the 2 year kit lifetime.
I consent to my son/daughter being photographed and/or filmed at CJBFC events, training and matches, or when representing CJBFC, for example at Tournaments, and for pictures to be published by CJBFC, their sponsors, the FA and the press.
Players who did not play for CJBFC last season are required to provide a head/shoulders photograph and suitable ID for league registration. We accept a photo or scan of either Passport or Birth CertificateAll ID documents should either be submitted through the form below or emailed to anthonypayne1977@yahoo.co.uk
Once a player is successfully registered to the club we delete all ID image files. Players are not insured to play for CJBFC or to receive a playing kit until an initial payment is made.

Payment is accepted by Bank Transfer or PayPal either before or after clicking the Submit Player Registration button.

If paying by bank transfer or standing order:

a) £200 at £25 per month August – March inclusive or 

b) £175 before 30th September 2021 (includes £25 discount)

Bank transfer reference should be “Initial” “Surname & “Age Group” eg HKaneU13

Payments should be made to:

Chesterfield Junior Blues Football Club

Sort Code:

30-91-93

Account Number:

26002268

We can accept PayPal payments for either:

a) £200 payable in 8 monthly instalments for full seasons subs
or
PayPal - Monthly Subs (8 x £25)
b) £175 before 30/09/21 for full seasons subs. (Includes a £25 discount)
or
PayPal - Full Subs for 1 year (£175)
c) £50 for second team or training-only players who are not able to play matches and will not receive any kit or trophy
or 
PayPal - Second Team / Training-only Subs (£50)

d) A custom amount pre-agreed with the club

PayPal - Custom Amount