LOASS FC
  • Home
  • About
  • News
  • Contact
  • Honours
  • Development

    Contact and Consent Form 2016-17

    Team

    Player details

    House/Flat Number and Street
    Town or City
    Please enter Standing order reference if known

    Parent/Carer Details

    School details

    Doctors Details

    State 'None' otherwise
    State 'None' otherwise
    State 'None' otherwise

    CONSENT TO PHOTOGRAPH - Video/Photo Release Authorisation

    I give permission to LOASS FC and/or parties designated by LOASS FC to photograph the person named above and use such photographs in all forms of media, for any and all promotional purposes including advertising, display, audio visual, exhibition or editorial use.
    ​I further consent to the use of the name of the person named above in connection with the photographs if needed by LOASS FC. 

    THIRD PARTY INFORMATION

    The information you provide will be held in strict confidence by LOASS FC. I consent to my details being forwarded upon request to professional football clubs and the Football Association which will only include the player’s contact and ethnicity details. 

    CONSENT DECLARATION

    I give permission for my child to take part in this activity that may also involve trips organised by LOASS FC and I am willing for LOASS FC volunteers to act on my behalf for the welfare of my child in the event of an emergency. We agree to stand by the LOASS FC rules and adhere to its Code of Conduct, including ensuring all fees are paid on time and understand that failure to do so will result in disciplinary action being taken which could result in your child being suspended from playing any organised football. I understand that I will not be offered a refund for registration or monthly fees should my child(ren) decide to leave LOASS FC throughout the season.

    Please tick the consent checkbox  below and submit the form by clicking the submit button

    Gift Aid

    Please consent to Gift Aid if you are a UK taxpayer and understand that if you pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all your donation it is your responsibility to pay any difference.
    Gift Aid can be reclaimed by LOASS FC through the charity ASSA (Charity No. 1145070) from the tax you pay for the current tax year.
    Your address is needed to identify you as a current UK taxpayer. 
    If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.
    Please notify us if you:
    - want to cancel this Gift Aid declaration
    - change your name or home address
    - no longer pay sufficient tax on your income and/or capital gains
    If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.
Submit

Social media

Copyright © 2015  LOASS FC

Club

Honours
History
Ethos
Grounds
Age groups
Sponsors
Endorsements


Coaches

Training schedule
Technical manual 
Expenses form

Registration form
​​CRC/DBS

Forms

Standing Order
Contact and consent
Signing on


Policies

​Child Protection
Anti-Bullying

Equality
​
Code of Conduct
​
Whistleblowing
​
Data Protection
​CEOP
​

Soccer schools

Futsal
Holiday schools
Football Development

Committee

Contact details
WGS
​Member Services
​
CRC/DBS
​
RESPECT
  • Home
  • About
  • News
  • Contact
  • Honours
  • Development