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Emergency & Medical Info

This information is required for your safety during matches.

Emergency Contact Name *

Emergency Contact Phone *

Emergency Contact Address *

Any Medical Conditions *

I consent to Performance Football League holding the health information above, so that staff and first aiders can look after me if I am injured or become unwell at a match. *

This is separate from the terms below and you can withdraw it at any time — see our Privacy Policy. Without it we cannot let you play, because we could not keep you safe on the pitch.

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Select all positions you can play.

I agree to the Terms & Conditions and the Code of Conduct, and have read the Privacy Policy

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