NCS Sign up form

The NCS programme is subject to availability. A member of the NCS team will confirm your place once the application form has been received.

Select your Programme*

If you have selected our Summer programme, please specify your preferred wave.

Should you find any of our waves to be sold out, please contact our NCS department direct on 01709 827767 and they will be able to advise you of your options.

Payment type*

If you are paying online/cheque, please specify the Name/Email of the account holder

Your Name

Your PayPal Email

Participant's Details

First Name(s)*

Surname*

Address*

Town*

County*

Postcode*

Mobile Telephone No.*

Home Telephone No.*

Your Email

Your Gender
 Male Female Trans-male Trans-female

Date Of Birth*

Your Age*

Parent Or Guardians Details

First Name(s)*

Surname*

Mobile Telephone No.*

Home Telephone No.*

Your Email

Participant Information

School / College Name*

Does the participant have any disabilities/medical needs? (Please Tick One)
 Yes No Prefer Not To Say

If you have answered yes to any of the above, please give more details

Does the Participant face any specific issues or barriers to participating in activities? (Please tick all that apply)

 Does not face any difficulties

 Difficulty with numeracy or literacy History of offending History of truancy In or recently in care Rurally isolated Young carer Substance mis-use Teenage parent (including pregnant) A statement of special educational needs Other, please state Prefer not to say

Other

Is the Participant eligible for free school / college meals? (Please Tick One)
 Yes No

Contributions

The standard price of NCS Spring/Autumn Programme is £35 and the NCS Summer Programme price is £50, as a contribution towards the entire costs. Financial support to cover this fee may be available if required (for example if your son/daughter is entitled to free school / college meals). Please our NCS department for more information.

Payment Method

We take payments online or by cheque/cash. If you are paying online you will be automatically redirected to our payment website (Official Soccer Schools). If you are paying by Cheque, please make payable to: Rotherham United Community Sports Trust. Regardless of your payment method, upon receiving this application, a member of our NCS Department will be in touch to advise you of the next steps.

Acceptance Statement

I confirm that the details I have provided are accurate and give permission for you to process this application.

Name of Signatory

Relationship to Participant

Address (if different to Participant's details)

Date