TYNE & WEAR BIZDEX LEAGUE REGISTRATION FORM SEASON 2013-2014 USE CAPITALS FOR ALL DETAILS other than the Signatures, illegible forms shall be returned. PLAYERS DETAILS: PLAYERS CODE: Forename ______Middle Name______Family Name ______

E-mail Address (If available)______

Club :______Date of Birth: ______

Land-line Tel No…………………………………………………………… Mobile No …………………………………………………………………………………

Players Home Address:______

______Postcode:______

Nationality ______

Mothers Maiden Name:______Place (Town) of Birth:______

Players Full Signature:______Date of signing:______

Secretary’s Name and Signature ------Signature of Opposition Secretary When signed on the day of the game ………………………………………………………………………………….………………

The Football Association will hold your information in a central database, in accordance with the privacy policy that accompanies this form. Please provide the following information to ensure that your details are not entered into this database more than once:

The following is optional, but we would be grateful if you can take time to answer it. The information will be used by The Football Association to carry out a statistical analysis in accordance with the privacy policy that accompanies this form.

White: British Irish Other Mixed: White & Black White & Black White & Asian Other Caribbean African Asian and Asian Indian Pakistani Bangladeshi Other Asian British: Black or Black Caribbean African Other Black British: Chinese or other Chinese Other Ethnic ______Ethnic Group: Group

If you do not want us to pass your information to third parties for direct marketing purposes, please tick the box: I have read the privacy policy, which accompanies this form, and understand the manner in which my personal information will be used:

TYNE & WEAR BIZDEX LEAGUE

Club:______Player:______

The Above named player was registered with this League on: ______

Signed:______Registration Secretary. TYNE & WEAR BIZDEX LEAGUE

Player Registration with the Tyne & Wear Bizdex League is £1.00p DURHAM F.A. have agree with an Insurance firm for ALL PLAYERS to have a sensible Insurance Scheme, all players registered in Local Leagues when registering must pay £5 Insurance which will cover them for ALL Local Football. Players (or their Clubs) will pay £6 to the League or £1 for TWBHL Registration if another League has accepted the Players £5 Insurance Fee. Durham will monitor all players registered in all Leagues to ensure they are Insured.

PRIVACY POLICY

Please read this policy carefully to see how we will treat the information that you provide to us. We, TYNE & WEAR BIZDEX LEAGUE will take reasonable care to keep your personal information secure and prevent any unauthorised access or unlawful use of it. We process all personal information in accordance the applicable UK data protection legislation.

How we will use your information

We will use your personal information to register you as a player in the League. We may send you information from time to time about the League. If you do not want to receive this information write to us at:

TYNE & WEAR BIZDEX LEAGUE, Secretary. Mr. R. Philpot, 41 Chirton Avenue, South Shields, Tyne and Wear, NE34 7BW

We may also provide your personal information to third parties who may send you information on products and services that may be of interest to you. If you do not wish us to pass on your information, please tick the ‘opt’ out box on the registration form.

Sharing your information

We have been asked to collect details of your ethnicity on behalf of the Football Association Limited (“The F.A.”) and to provide your other personal information to The F.A. to allow The F.A. to carry out statistical analysis. The analysis will identify the demand for the football in certain areas, trends for participation in the game and allow The F.A. to direct its resources to those areas of the game, which are in most need such as facilities and football development. This analysis will be carried out on a depersonalised basis and The F.A. will not disclose the results of the analysis except in an anonymous form.

The F.A. will retain your information in a central database. You have been asked to provide details of your mother’s maiden name and place of birth for de-duplication purposes to ensure that your details do not appear twice on the database. The F.A. may send you information on football related matters, which may be of interest to you. If you do not want to receive this information please ensure that you have ticked the ‘opt’ out box on the registration form. Please note that The F.A. will only send information to persons aged over 18.

Updating your information

If any of your information changes you must update us so that we can keep an accurate record of your information.