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PLAY & PARTICIPATE
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WELFARE
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Mental Health awareness

November 2021

TheFA Play Safe Campaign
Gallery
TheFA Play Safe Campaign

TheFA Play Safe Campaign

Secretary2022-07-08T12:50:25+01:0019/11/2021|

Lydney Town AFC Youth is lending its full support to Play Safe – a national [...]

A special thanks to all our sponsors.

CLUb sponsors

A special thanks to all our sponsors. If you would like to support the club or a particular age group, we would be delighted to hear from you.

u7s support great western ambulance charity

Address:

Lydney Town AFC Youth, Church Road, Lydney GL15 5DZ

Registered charity in England and Wales

1198391

REGISTRATION FORM | LYDNEY TOWN AFC LIONS (2024/25)

Academic Year September 2023

Please only complete this registration form if:

the named child is born between 1st September 2018 and 31 August 2020.

PLAYER DETAILS

Players Name *

DoB (DD) *

DoB (MM) *

DoB (YYYY) *

Name of School *

School Year *

Gender *

Registration Photo

Please upload a 'passport style' photo only.

Choose File

Players Nationality *

MEDICAL INFORMATION

Health

Additional Needs

GUARDIAN

Please ensure the parent/guardian completing this form is registered with TheFA. If you are NOT registered or unsure, please click here for instructions on retrieving your FAN (Parent) or creating one. If you need any assistance please contact Tye Page, Club Secretary.

Guardian Name *

DoB (DD) *

DoB (MM) *

DoB (YYYY) *

Mobile Number *

Parent FAN Number *

Email Address *

Home Address *

Relationship to Player *

Coaching Opportunities *

GUARDIAN+

Although this section can remain blank, for both guardians to access the FA Matchday App, full details of both parents/guardians need to be registered with the club and TheFA.

Guardian Name

DoB (DD)

DoB (MM)

DoB (YYYY)

Mobile Number

Parent FAN Number

Email Address

Relationship to Player

Volunteer Opportunities

PAYMENT OPTIONS

Training and Registration fees for Lydney Lions are provided by the Club Free of Charge.

DECLARATION

I give permission:

for the named player within the online registration to attend training sessions and to represent Lydney Town AFC Youth (LTAFCY) Lions.
for appropriately trained LTAFCY officials to provide first aid to the named player in the event of illness or injury and give appropriate permission to healthcare professionals dealing with any such injury or illness. I understand that whilst LTAFCY coaches, officials and assistants will take all reasonable care and precautions to ensure the health and safety of players, they cannot be held responsible for any loss, damage or injury suffered whilst travelling to and from fixtures or whilst participating in matches or training sessions.

I, as the Parent/Guardian:

have read and understood LTAFCY Club Rules, LTAFCY Code of Conduct for Parents/Guardians and LTAFCY Code of Conduct for Players. Both I and the named player within the online registration understand the implications of not adhering to the codes.
certify that the information provided within the online registration form is correct. I agree for it to be used by LTAFCY for any purposes under LTYFC Privacy Policy. I understand making false or inaccurate statements or failing to disclose information will render the registration invalid and liable for sanction.
accept that LTAFCY are not responsible for the children’s personal needs and parents should be present at all times (as applicable) for welfare reasons.
understand LTAFCY reserves the right to cancel membership registration without refund in the event that conduct, on or off the pitch is deemed unacceptable by either the player or the parent(s) by the LTAFCY Committee.

DECLARATION *

I agree to the above statements.

LTAFCY officials may take photos or videos of teams and players for the purposes of promoting and celebrating the activities of the Club and for training purposes. This may include, but not be limited to, publishing images on the LTAFCY website or LTAFCY social media pages, and players could be identified. Please indicate below whether you consent to images/footage of the player, named in this online registration form, to be used for the purposes stated above. *

You also accept and agree that you will NOT share any photographs or videos of other players, not named in this registration, on any social media or other public platform, without the prior permission of a club official or the individual identifiable (or representatives of) within the captured material. LTAFCY take no responsibility for any media shared outside of official club pages and platforms. *

Signed *

Thank you for your interest in Lydney Lions for the 2024/25 season.
If you do not hear from anyone over the next 7 days, please contact Tye Page club.secretary@lydneytownafcyouth.co.uk who can chase on your behalf

We apologise. There was a problem and your application has not been sent. Please try again later.

If you continue to have problems, please contact Tye Page, club.secretary@lydneytownafcyouth.co.uk.

TASTER FORM | LYDNEY TOWN AFC (2024/25)

Academic Year September 2024

Taster sessions are open to children born between 1st September 2007 and 31 August 2018. Prior to registering with us, Lydney Town AFC Youth offer several taster sessions for new players to experience a football session ran by one of our qualified coaches (subject to availability).

PLAYER DETAILS

Players Name *

DoB (DD) *

DoB (MM) *

DoB (YYYY) *

Name of School *

School Year *

Gender *

Preferred Position *

Previous Clubs

Recommended by (Coach)

MEDICAL INFORMATION

Health

Additional Needs

GUARDIAN

Guardian Name *

Mobile *

Email Address *

Media *

Thank you for your interest in Lydney Town AFC Youth. A club official shall be touch shortly.
If you do not hear from anyone over the next 7 days, please contact Tye Page club.secretary@lydneytownafcyouth.co.uk who can chase on your behalf

We apologise. There was a problem and your application has not been sent. Please try again later.

If you continue to have problems, please contact Tye Page, club.secretary@lydneytownafcyouth.co.uk.

RENEWAL FORM | LYDNEY TOWN AFC (2024/25)

Academic Year September 2024

Please only complete this registration form if:

the named child was registered with LTAFCY last season (2023/24)
the named child was born between 1st September 2007 and 31st August 2018
the named child was NOT registered with Lydney Lions last season (2023/24)

PLAYER DETAILS

Players Name *

DoB (DD) *

DoB (MM) *

DoB (YYYY) *

Name of School *

School Year *

Gender *

Registration Photo

Please upload a 'passport style' photo only.

Choose File

Players Nationality *

MEDICAL INFORMATION

Health

Additional Needs

GUARDIAN

Guardian Name *

DoB (DD) *

DoB (MM) *

DoB (YYYY) *

Email Address *

Mobile Number *

Home Address *

Volunteer Opportunities *

CLUB PAYMENTS

For a breakdown of the 2024/25 club membership and match fees, please click here.

Signing On shall be charged as a one off payment of £10. This payment is to be made via theFA Matchday App prior within 7 days.

The Annual fee (September - May) shall be charged either as a one-off payment of £135.00 (pro rata), or via x9 £15.00 monthly instalments (pro rata). Both methods to be paid via theFA Matchday App. The initial annual fee for monthly payments is due 1st September 2024.

Annual Fee Preference *

Signing on and Match Fees not included.

DECLARATION

I give permission:

For the named player within the online registration to attend training and to represent Lydney Town AFC Youth (LTAFCY) during the current season (inc. tournaments, friendlies and competitive matches).
I give permission for appropriately trained LTAFCY officials to provide first aid to the named player in the event of illness or injury and give appropriate permission to healthcare professionals dealing with any such injury or illness. I understand that whilst LTAFCY coaches, officials and assistants will take all reasonable care and precautions to ensure the health and safety of players, they cannot be held responsible for any loss, damage or injury suffered whilst travelling to and from fixtures or whilst participating in matches or training sessions.

I, as the Parent/Guardian:

have read and understood LTAFCY Club Rules, LTAFCY Code of Conduct for Parents/Guardians and LTAFCY Code of Conduct for Players. Both I and the named player within the online registration understand the implications of not adhering to the codes.
certify that the information provided within the online registration form is correct. I agree for it to be used by LTAFCY for any purposes under LTYFC Privacy Policy. I understand making false or inaccurate statements or failing to disclose information will render the registration invalid and liable for sanction.
accept that LTAFCY are not responsible for the children’s personal needs and parents should be present at all times (as applicable) for welfare reasons.

I understand:

I must pay the initial registration fee via theFA Matchday App within 7 days of registering through LTAFCY website, and prior to playing in any league fixtures. If not paid, the club shall remove my player’s registration prior to the start of the season.
A player whose annual registration is more than 2 (two) month in arrears and/or 3 (three) match fees in arrears shall be subject to a playing and training ban which shall only be lifted once full payment of outstanding amount is received unless alternative payment methods are agreed with the Club Treasurer and Secretary.
A member who remains in debt from the previous season will not be able to register with the club until all outstanding debt has been cleared, unless otherwise arranged with Club Secretary and Treasurer.
LTAFCY reserves the right to cancel membership registration without refund in the event that conduct, on or off the pitch is deemed unacceptable by either the player or the parent(s) by the LTAFCY Committee.

DECLARATION *

I agree to the above statements.

Signed *

Thank you for your renewal for the 2024/25 season.
If you do not hear from anyone over the next 7 days, please contact Tye Page club.secretary@lydneytownafcyouth.co.uk who can chase on your behalf

We apologise. There was a problem and your application has not been sent. Please try again later.

If you continue to have problems, please contact Tye Page, club.secretary@lydneytownafcyouth.co.uk.

INITIAL REGISTRATION | LYDNEY TOWN AFC (2024/25)

Academic Year September 2024

Please only complete this registration form if:

this is the initial registration of your ELDEST child, where there are 2 or more siblings registering
the child you are registering was NOT registered with Lydney Town AFC Youth last season (2024/25)
the named child was born between 1st September 2007 and 31 August 2018.

PLAYER DETAILS

Players Name *

DoB (DD) *

DoB (MM) *

DoB (YYYY) *

Name of School *

School Year *

Gender *

Previous Clubs

Preferred Position *

Registration Photo

Please upload a 'passport style' photo only.

Choose File

Players Nationality *

MEDICAL INFORMATION

Health

Additional Needs

GUARDIAN

Guardian Name *

DoB (DD) *

DoB (MM) *

DoB (YYYY) *

Mobile Number *

Parent FAN Number *

Email Address *

Home Address *

Relationship to Player *

Volunteer Opportunities *

GUARDIAN+

Although this section can remain blank, for both guardians to access the FA Matchday App, full details of both parents/guardians need to be registered with the club and TheFA.

Guardian Name

DoB (DD)

DoB (MM)

DoB (YYYY)

Mobile Number

Parent FAN Number

Email Address

Relationship to Player

Volunteer Opportunities

PAYMENT OPTIONS

For a breakdown of the 2024/25 club membership and match fees, please click here.

Signing On shall be charged as a one off payment of £10. This payment is to be made via theFA Matchday App prior within 7 days.

Annual Fee Preference *

Signing on and Match Fees not included.

DECLARATION

I give permission:

For the named player within the online registration to attend training and to represent Lydney Town AFC Youth (LTAFCY) during the current season (inc. tournaments, friendlies and competitive matches).
I give permission for appropriately trained LTAFCY officials to provide first aid to the named player in the event of illness or injury and give appropriate permission to healthcare professionals dealing with any such injury or illness. I understand that whilst LTAFCY coaches, officials and assistants will take all reasonable care and precautions to ensure the health and safety of players, they cannot be held responsible for any loss, damage or injury suffered whilst travelling to and from fixtures or whilst participating in matches or training sessions.

I, as the Parent/Guardian:

have read and understood LTAFCY Club Rules, LTAFCY Code of Conduct for Parents/Guardians and LTAFCY Code of Conduct for Players. Both I and the named player within the online registration understand the implications of not adhering to the codes.
certify that the information provided within the online registration form is correct. I agree for it to be used by LTAFCY for any purposes under LTYFC Privacy Policy. I understand making false or inaccurate statements or failing to disclose information will render the registration invalid and liable for sanction.
accept that LTAFCY are not responsible for the children’s personal needs and parents should be present at all times (as applicable) for welfare reasons.

I understand:

I must pay the initial registration fee via theFA Matchday App within 7 days of registering through LTAFCY website, and prior to playing in any league fixtures. If not paid, the club shall remove my player’s registration prior to the start of the season.
A player whose annual registration is more than 2 (two) month in arrears and/or 3 (three) match fees in arrears shall be subject to a playing and training ban which shall only be lifted once full payment of outstanding amount is received unless alternative payment methods are agreed with the Club Treasurer and Secretary.
A member who remains in debt from the previous season will not be able to register with the club until all outstanding debt has been cleared, unless otherwise arranged with Club Secretary and Treasurer.
LTAFCY reserves the right to cancel membership registration without refund in the event that conduct, on or off the pitch is deemed unacceptable by either the player or the parent(s) by the LTAFCY Committee.

DECLARATION *

I agree to the above statements.

Signed *

Thank you for your interest in Lydney Town AFC Youth (2024/25 season).
If you do not hear from anyone over the next 7 days, please contact Tye Page club.secretary@lydneytownafcyouth.co.uk who can chase on your behalf

We apologise. There was a problem and your application has not been sent. Please try again later.

If you continue to have problems, please contact Tye Page, club.secretary@lydneytownafcyouth.co.uk.

INITIAL REGISTRATION | SIBLINGS (2024/25)

Academic Year September 2024

Please only complete this registration form if:

you have already registered your ELDEST child and would like to register a SIBLING.
the child you are registering was NOT registered with Lydney Town AFC Youth last season (2024/25)
the named child is born between 1st September 2007 and 31 August 2018.

PLAYER DETAILS

Players Name *

DoB (DD) *

DoB (MM) *

DoB (YYYY) *

Name of School *

School Year *

Gender *

Previous Clubs

Preferred Position *

Registration Photo

Please upload a 'passport style' photo only.

Choose File

Players Nationality *

MEDICAL INFORMATION

Health

Additional Needs

GUARDIAN

Please provide the following details to enable us to link your main registration details. The email address MUST match the MAIN email address on your eldest child registration.

Guardian Name *

Email Address *

PAYMENT OPTIONS

For a breakdown of the 2023/24 club membership and match fees, please click here.

Signing On shall be charged as a one off payment of £10. This payment is to be made via theFA Matchday App prior within 7 days.

Annual Fee Preference *

Signing on and Match Fees not included.

DECLARATION

I give permission:

For the named player within the online registration to attend training and to represent Lydney Town AFC Youth (LTAFCY) during the current season (inc. tournaments, friendlies and competitive matches).
I give permission for appropriately trained LTAFCY officials to provide first aid to the named player in the event of illness or injury and give appropriate permission to healthcare professionals dealing with any such injury or illness. I understand that whilst LTAFCY coaches, officials and assistants will take all reasonable care and precautions to ensure the health and safety of players, they cannot be held responsible for any loss, damage or injury suffered whilst travelling to and from fixtures or whilst participating in matches or training sessions.

I, as the Parent/Guardian:

have read and understood LTAFCY Club Rules, LTAFCY Code of Conduct for Parents/Guardians and LTAFCY Code of Conduct for Players. Both I and the named player within the online registration understand the implications of not adhering to the codes.
certify that the information provided within the online registration form is correct. I agree for it to be used by LTAFCY for any purposes under LTYFC Privacy Policy. I understand making false or inaccurate statements or failing to disclose information will render the registration invalid and liable for sanction.
accept that LTAFCY are not responsible for the children’s personal needs and parents should be present at all times (as applicable) for welfare reasons.

I understand:

I must pay the initial registration fee via theFA Matchday App within 7 days of registering through LTAFCY website, and prior to playing in any league fixtures. If not paid, the club shall remove my player’s registration prior to the start of the season.
A player whose annual registration is more than 2 (two) month in arrears and/or 3 (three) match fees in arrears shall be subject to a playing and training ban which shall only be lifted once full payment of outstanding amount is received unless alternative payment methods are agreed with the Club Treasurer and Secretary.
A member who remains in debt from the previous season will not be able to register with the club until all outstanding debt has been cleared, unless otherwise arranged with Club Secretary and Treasurer.
LTAFCY reserves the right to cancel membership registration without refund in the event that conduct, on or off the pitch is deemed unacceptable by either the player or the parent(s) by the LTAFCY Committee.

DECLARATION *

I agree to the above statements.

Signed *

Thank you for your registration for siblings for the 2024/25 season.
If you do not hear from anyone over the next 7 days, please contact Tye Page club.secretary@lydneytownafcyouth.co.uk who can chase on your behalf

We apologise. There was a problem and your application has not been sent. Please try again later.

If you continue to have problems, please contact Tye Page, club.secretary@lydneytownafcyouth.co.uk.

UNDER 18s | LYDNEY TOWN AFC (2024/25)

Academic Year September 2024

This form should ONLY be completed if you were successful at a Trial or been requested to sign by the under 18s coach.

PLAYER DETAILS

Players Name *

DoB (DD) *

DoB (MM) *

DoB (YYYY) *

Email Address *

Mobile Number *

Signing for Seniors? *

Previous Clubs

Preferred Position *

Home Address *

Players Nationality *

Registration Photo

Please upload a 'passport style' photo only.

Choose File

MEDICAL INFORMATION

Health

NEXT OF KIN

Next of Kin *

DoB (DD) *

DoB (MM) *

DoB (YYYY) *

Mobile Number *

Relationship to Player *

Email Address *

DECLARATION

I give permission for appropriately trained LTAFCY officials to provide first aid to the named player in the event of illness or injury and give appropriate permission to healthcare professionals dealing with any such injury or illness. I understand that whilst LTAFCY coaches, officials and assistants will take all reasonable care and precautions to ensure the health and safety of players, they cannot be held responsible for any loss, damage or injury suffered whilst travelling to and from fixtures or whilst participating in matches or training sessions.
I certify that the information provided within the online registration form is correct. I agree for it to be used by LTAFCY for any purposes under LTYFC Privacy Policy. I understand making false or inaccurate statements or failing to disclose information will render the registration invalid and liable for sanction.
A member who remains in debt from the previous season will not be able to register with the club until all outstanding debt has been cleared, unless otherwise arranged with Club Secretary and Treasurer.
LTAFCY reserves the right to cancel membership registration without refund in the event that conduct, on or off the pitch is deemed unacceptable by either the player or the parent(s) by the LTAFCY Committee.

DECLARATION *

I agree to the above statements.

Signed *

Thank you for your interest for the 2024/25 season.
If you do not hear from anyone over the next 7 days, please contact Tye Page club.secretary@lydneytownafcyouth.co.uk who can chase on your behalf

We apologise. There was a problem and your application has not been sent. Please try again later.

If you continue to have problems, please contact Tye Page, club.secretary@lydneytownafcyouth.co.uk.

TRIALS u18s | LYDNEY TOWN AFC (2024/25)

Academic Year September 2024

To attend an upcoming trial, please complete the application below:

PLAYER DETAILS

Players Name *

DoB (DD) *

DoB (MM) *

DoB (YYYY) *

Email Address *

Mobile Number *

Previous Clubs

Preferred Position *

MUST be eligible to sign for Seniors? *

MEDICAL INFORMATION

Health

Thank you for your interest in Lydney Town AFC u18s.
The application has been received and we will be in touch shortly.

There was an error whilst submitting your enquiry.
Please try again later.

Festival of Football 2023

Club Information

Club Name *

Booking Contact *

FA Affiliation Number *

Mobile Number *

Email Address *

Address & Postcode *

Billing (If Different)

Entry Form

Please complete the table below, with a maximum of 2 teams per age group.

Age Group

Team Name

Coach

Mobile

Thank you for your application to Lydney Town Festival of Football. We will be in contact by email for payment shortly.
The Welcome Pack and Tournament rules will be issued nearer to the event.

We apologise. There was a problem with your registration. Please try again later.

If you continue to have problems, please contact Mark Smith on 07748 683 656.

Declaration

I give permission for the named player within the online registration to attend training sessions and represent Lydney Town AFC Youth (LTAFCY) during the current season.
I give permission for LTAFCY officials to take photography of the player named within the online registration. These could be published where players are identified by name, on any LTAFCY website and/or social media page.
I give permission for appropriately trained LTAFCY officials to provide first aid to the named player in the event of illness or injury and give appropriate permission to healthcare professionals dealing with any such injury or illness. I understand that whilst LTAFCY coaches, officials and assistants will take all reasonable care and precautions to ensure the health and safety of players, they cannot be held responsible for any loss, damage or injury suffered whilst travelling to and from fixtures or whilst participating in matches or training sessions.
Both I and the named Player within the online registration have read and understood LTAFCY Club Rules, LTAFCY Code of Conduct for Parents/Guardians and LTAFCY Code of Conduct for Players. Both I and the named player within the online registration understand the implications of not adhering to the codes.
I understand LTAFCY reserves the right to cancel membership registration without refund in the event that conduct, on or off the pitch is deemed unacceptable by either the player or the parent(s) by the LTAFCY Committee.
I certify that the information provided within the online registration form is correct. I agree for it to be used by LTAFCY for any purposes under LTYFC Privacy Policy. I understand making false or inaccurate statements or failing to disclose information will render the registration invalid and liable for sanction.
I understand I must pay the initial registration fee on receipt of invoice prior to Lydney Town AFC Youth registering the named player with the club, the Gloucestershire Football Association.

MEDICAL UPDATE

You are updating medical information you provided at registration. This submission shall update and replace the current medical information held by your coach and the club.

Player Name *

Date of Birth *

Current Team *

Please list any information relevant to the player's current state of health *

GUARDIAN DETAILS

Guardian Name *

Email Address *

Declaration

I give permission for appropriately trained LTYFC officials to provide first aid to the named player(s) in the event of illness or injury and give appropriate permission to healthcare professionals dealing with any such injury or illness. I understand that whilst LTYFC coaches, officials and assistants will take all reasonable care and precautions to ensure the health and safety of players, they cannot be held responsible for any loss, damage or injury suffered whilst travelling to and from fixtures or whilst participating in matches or training sessions.

I have read and agree with the above declaration .

Signed *

Thank you for updating your Child's medical record.
This will be passed onto your child coach and recorded within the clubs records for this season.
Club Committee

There was an error whilst submitting your child's registration.
Please try again later.

LYDNEY TOWN AFC YOUTH REPORTS / PHOTOS

This form provides access to upload photos and match reports for the Lydney Town AFC youth club blog and within individual age group pages.

Full Name *

Age Group *

Email Address *

Match Report (if applicable)

Photo Upload (1)

Can also be updated via logging onto your FAN account

Choose File

Photo Upload (2)

Can also be updated via logging onto your FAN account

Choose File

Photo Upload (3)

Can also be updated via logging onto your FAN account

Choose File

Photo Upload (4)

Can also be updated via logging onto your FAN account

Choose File

Thank you for your upload of Lydney town AFC Youth matches, training etc.

There was an error trying to upload your photos. Please try again later.

GET INTO COACHING!

We would love to hear from you if you are interested in Coaching.

Dont Hesitate, ESCALATE!

TheFA Whistleblowing Policy

If you have reported a safeguarding concern about a child at risk and feel that it has not be dealt with correctly, then there are a number of organisations you can and should escalate your concern to. This is the same is you wish to raise a concern around the behaviour or actions of someone which could lead to potential repercussions against you within our club environment, This whistleblowing policy affords you the chance to get the correct outcome without the risk of it coming back on you from within the club.

Any adult or young person with concerns about a colleague can also use whistle-blowing by calling 0800 169 1863 and asking for The FA’s safeguarding team, or via email on safeguarding@TheFA.com.

Alternatively you can go direct the Police or Children’s Social Care and report your concerns there, or to the Child Protection in Sport Unit via CPSU or the NSPCC Helpline via 0808 800 5000 or by emailing them here.

COACHING OPPORTUNITIES

If you are interested in coaching at Lydney Town AFC Youth, please complete the form below and our Development Coach lead shall be in touch. If you have the enthusiasm to make a positive impact to young players, we will provide you with:

Support and outlay the costs for theFA coaching badges
Mentoring and assistance
Coaching attire and equipment

YOUR DETAILS

Your Name *

DoB (DD) *

DoB (MM) *

DoB (YYYY) *

Mobile Number *

Gender *

Email Address *

Brief outline of your interest *

Thank you for your interest in Lydney Town AFC Youth. A Club Official shall be in touch shortly.

There was an error trying to send your message. Please try again later.

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