Membership Application Form
Any medical ailments or requirements must be listed below. To ensure our coaches are fully prepared in the event of any incidents the correct process for administering your medication must be fully demonstrated.
Please note if any medical circumstances change you must notify the club/coach immediately. If none exists please enter this in the boxes.
Annual Membership Fees
1 Member Families £190*/Season. 2 Member Families £315/Season. 3 Member Families £450/Season.
Discount of 25% per additional player applies to families registering more than one member.
Annual: Paid in full by 1st August 2019.
Bi Annual: Two Equal Payments. 1st payment by 1st August 2019 and 2nd payment by the 1st January 2020
Monthly Plan: £40 deposit (per member) paid by 1st August followed by 5 monthly payments of:
(1 Member £30). (2 Members £49). (3 Members £68). Paid on the 1st Sep, 1st Oct, 1st Nov, 1st Dec, 1st Jan.
* £10 reduction off first member fees if total amount due is payed by 1st August.
Please select your preferred membership Payment Option:
Use payment reference; Age Group, followed by first 3 characters of surname.
e.g. Under 9, John Smith. Reference = 9SMI (when setting up your bank payment/s)
Club Bank Account Details:
Hawley Raiders Football Club. Lloyd's Bank, Acc. No: 03414001 Sort Code: 30-91-53.
Acceptance & Consent
All boxes must be checked for membership to be processed:
Agree to set up the selected payment option with my bank. I accept that membership is paid for through an annual subscription fee and accept liability for the full amount as set out in the Annual Membership Fees above.
Accept all decisions made by the squad manager and management committee.
Accept that the club will offer no refund of monies if the member is withdraw from the club between 1st August and 31st May for any reason other than home relocation, outside the club’s catchment area, or long term injury.
Consent to the member being used in club promotional imagery. Hawley Football Club follows The FA’s policies & guidelines for photography. Requests for vulnerable children to be omitted from promotional imagery should be made in writing to the Club Secretary.
Accept that membership may be withdrawn immediately and without prior warning in the event of a serious breach of FA or club rules, policies or codes of conduct by any person associated with the member at the time of the breach.
Accept that it is my responsibility to inform the club immediately of any changes to the details on this form.