Development Centre Registration Form

Player Details
Parent or Guardian Information
Medical Conditions
  1. AsthmaDiabetesAllergyHearing or Sight ImpairmentOther - please detail below
  2. In the event of an accident or illness I give my consent for any necessary medical treatment being given to my child which might include the use of anaesthetics. In order to keep our records up to date please advise of of any changes.
Cookstown Youth FC Publicity
  1. YES I'M HAPPYNO I DO NOT CONSENT