Player Registration Form 2025/26 Player Signup 2025-26 Player Information Players First Name * Players Middle Name Players Last Name * Players Date of Birth (dd/mm/YYYY) * Players Address * Postcode * Players School Year in September * Year 1Year 2Year 3Year 4Year 5Year 6Year 7Year 8Year 9Year 10Year 11Year 12/13Not in education School/College Player Attends * Please insert NA if none Does the player receive free school meals? * YesNoPrefer not to say Please provide any relevant information on the players culture or faith Name of Team Signing For * U11sU12sU12s BlueU13sU14sU15sU15s BlueU15s GreenU15s WhiteU16sU17s1st Team Medical Information Details of any known allergies, conditions, medication being taken. * Please insert NA if none Any other special educational needs, requirements or directions that manager needs to be aware of? * Please insert NA if none Does the player have any hearing loss, requirements or directions that the manager needs to be aware of? * Please insert NA if none Does the player require glasses to play sport? * NoYes GP Surgery player is registered to (NOT doctors name) * GP Surgery Address * GP Surgery Postcode * GP Surgery Telephone * Parent / Guardian #1 Parent / Guardian First Name * Parent / Guardian Last Name * Relationship to Player * FatherMotherGuardian/CarerStep FatherStep MotherGrandfatherGrandmotherSibling (18+)Other family member Date of Birth (dd/mm/yyyy) * It is an FA requirement to enter the DOB of adults of U18 players when registering players to leagues. Contact Telephone No * Contact Email Address * Opt in to the Wigan Athletic Ladies & Girls Newsletter Yes Parent / Guardian #2 Parent / Guardian #2 First Name Parent / Guardian #2 Last Name Relationship to Player Father Date of Birth (dd/mm/yyyy) It is an FA requirement to enter the DOB of adults of U18 players when registering players to leagues. Contact Telephone No * Contact Email Address * Opt in to the Wigan Athletic Ladies & Girls Newsletter Yes Please list any other family members that may collect the player * Please insert NA if none Informed Consent and Acknowledgement We hold onto the details on this form so we can administer our teams (e.g. to register players for our teams with leagues), and so we can get in touch with you about Wigan Athletic Ladies & Girls related matters. I will inform the manager of any important changes to my child’s health, medication or needs and also of any changes to our address or phone numbers provided. In the event of illness, having parental responsibility for the above named child, I give permission for medical treatment to be administered where considered necessary by a nominated first aider, or by suitably qualified medical practitioners. If I cannot be contacted and my child should require emergency hospital treatment, I authorise a qualified medical practitioner to provide emergency medical treatment. I confirm all details above are correct to the best of my knowledge and I am able to give parental consent for my child to travel to and participate in all activities. I consent to Wigan Athletic Ladies & Girls collecting and storing the details from this form * Yes I give permission for my child’s image to be used, as appropriate, on the Club Website under the guidance of FA directives on child protection.( * Yes No Signed By * By agreeing above and submitting this form, I am delivering an electronic signature that is equivalent to an original manual paper signature. The electronic signature will be equally as binding as an original paper signature. Relationship to Player * Father Register If you are human, leave this field blank.
