Registration | Kernow Youth Select

Players personal details

Players Name (must be as shown in passport)*

First Middle Last

Players Date of Birth*

Address*

Street Address Address Line 2 City ZIP / Postal Code

Players mobile number*

This is for emergency use whilst we are on tour. No direct correspondence will be made with the player.

School*

Players picture*

This should be a passport style photo. This will be used for team sheets whilst on tour.

Team selection

Please refer to parent portal for the correct players team.

Select your team name*

Clothing

Please refer to size guide in the parent portal

Initials required for training top

Please select either tubes or socks

Socks
Tubes

Tube size

Junior
Adult

Select sock size

12-2
3-6
7-11
12-15

Players training top size*

Players polo shirt size*

Players rain coat size*

Players trouser size*

Travel arrangements

Please refer to travel times in the parent portal

Pick up point*

Penzance
Pool School
Cornwall service's

Drop off point*

Penzance
Pool School
Cornwall service's

Emergency contact details

Name of parent/guardian (emergency contact 1)*

First Last

Is your address the same as the player?*

Yes
No

Address Parent/Guardian (emergency contact 1)

Street Address Address Line 2 City ZIP / Postal Code

Parent/guardian mobile number (emergency contact 1)*

Parent/guardian Email (emergency contact 1)*

Emergency contact name 2*

First Last

Must be different from first emergency contact

Emergency contact 2 Address (if different from above)

Street Address Address Line 2 City ZIP / Postal Code

Emergency contact 2 mobile number*

Must be different from first emergency contact

Email (emergency contact 2)*

What's app group

Two numbers can be added to the what's app group. This should be the people responsible for the player. What's app group's are used to communicate before, during and after the tour.

Mobile number to be added to what's app group*

Declaration

Do you consider the above named to be fit and capable of taking part in all activities expected of football training and competitive matches?*

Yes
No

Does the above named suffer from any allergies?*

Yes
No

Please give details:*

Does the above named have any health problems which require medication?*

Yes
No

Please give details*

When did the above name last have a tetanus injection?*

Up to date
Unknown

Does the above named have any medical conditions that need to be declared for travel insurance?*

Yes
No

Please give details*

Do you give permission for a responsible member of Kernow youth select to act in loco parentis, if we are unable to contact you?*

Yes
No

I acknowledge the players code of conduct*

Yes

I understand that the coaches responsible for the activities will take all reasonable care of participants*

Yes

I agree for photographs to be taken for use in all KYFS newsletter, promotional materials, website and social media.*

Yes
No