Junior Coaches Registration Form

New BTFC Logo10 2020 08 26 07 16 10 UTC

Coaches Registration 2026/2027 Season

Password(*)

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Should you have any issues using this form please contact Mike on mike@brackleytownfc.co.uk. Please do not contact/email anyone else as this will be your quickest way to get an answer to your problem

Items marked with an * are required.

Coach Personal Details

Coaches Full Name(*)

Please input players name

Coaches Date of birth(*)

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Coaches Email(*)

Please specify email address.

Best Number to contact you on(*)

Please specify best number to contact you on, no spaces

Road/Street(*)

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House Number/Name(*)

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City/Town(*)

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County(*)

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Post Code(*)

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What team do you coach.

Age Group(*)

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What capacity Head or Assistant Coach(*)

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Please provide the details of Next of Kin who we can contact if required.

Next of Kin Contact Name(*)

Please specify your name

Next of Kin Relationship(*)

Please specify relationship to child

Next of Kin Email(*)

Please specify your email address.

Next of Kin Best Number to contact you on, do not include spaces(*)

Please specify mobile phone number, no spaces

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Finally, to complete registration you must read and agree the following

Our Health & Safety Policy & more can be read HERE tick box below to confirm acceptance

I have read and accept Health & Safety Policy(*)

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Once form is completed click on 'Confirm My Registration' below

You will receive an automated email confirming your registration for the 2026 - 2027 season.

A copy of the Health & Safety Policy & Coaches Manual will be attached to above email.

Thank you for registering BTFC

Junior Coaches Registration - 2026/2027