Shrewsbury Town FC Foundation

First Name *

Last Name *

Email *

This is required for all 16+ players /participants.

Phone *

This is required for all 16+ players/participants.

Address: *

Postcode:

Secondary Parent /Guardian/Emergency Name *

Secondary Parent / Guardian Contact/ Emergency Number *

Profile Image *

In line with the clubs commitment to safeguarding, please upload a recent passport style image.

Upload your avatar. It can be a jpg, png or gif image, maximum size 10mb.

Resulting dimensions will be 300px x 300px.

Upload

Keep me updated with news and offers from the club *

Yes Please

No Thanks

Safety PIN *

Please enter a 6 digit numerical PIN. We’ll use this incase you need someone else to collect your child from us. We will not be able to release your child to anyone other than yourself if they can not quote the children’s PIN - For this reason your child PIN should be secure and not an obvious date or sequence of numbers.

Account Password *

Confirm Account Password *

Ludlow HAF - does your child require transport?

Please answer if your child requires transport for the Ludlow HAF programme. Please specify where you would like to be picked up from. Options include: Burford, Ludlow and St Lawrence Primary Schools.

Account Holder Details