Make A Payment Make A One Off Payment One Off PaymentsCollect credit card payments Player Details Player Full Name Gender MaleFemalePrefer not to say Date Of Birth Any Medical Information (optional) Primary Parent / Guardian Name Primary Parent / Guardian Contact Number Primary Parent / Guardian Email Address Emergency Contact Name 1 Emergency Contact Number 1 Emergency Contact Name 2 (optional) Emergency Contact Number 2 (optional) I hereby consent to Cogan Coronation AFC using images of my above-named Player (child) in video recordings and/or photographs. I also consent to them being used for marketing and publicity-related purposes to promote the Cogan Coronation AFC on Social media YES I CONSENTNO I DO NOT GIVE CONSENT Payment Details Amount You Would Like To Pay £ Cardholder Name Contact Number Email Address plan_select starting at £1.00 Credit / Debit Card Number Credit Card Please wait...
