TID Registration Form - Colchester United FC

Thank you for your interest in attending a Colchester United Academy Talent Identification Event. Please complete all sections of this form carefully.

All fields marked with * are required. Your data will be processed in accordance with UK GDPR and stored securely on our Scout52 platform.

1 Event Selection

Select Event *

Events are subject to availability

2 Player Information

First Name *

Surname *

Date of Birth *

Town of Birth *

School Year *

Postcode *

School Name *

3 Eligibility Documentation

UK Passport Held? *

Yes No

Passport Country *

UK Birth Certificate Held? *

Yes No

Birth Certificate Country *

5 Club Contact (7-Day Approach)

We are required to contact your son's current grassroots club to notify them of attendance at this event.

Club Contact Name *

Club Contact Email *

We will send a 7-day approach email to this address

6 Parent/Guardian Information

Parent/Guardian #1 (Primary Contact)

Full Name *

Contact Number *

Format: 00000 000000 (11 digits with space)

Email Address *

Parent/Guardian #2 (Optional)

Full Name

Contact Number

Email Address

7 Emergency Contact

Quick Fill from Parent Details:

Contact Name *

Relationship to Player *

Contact Number *

Format: 00000 000000 (11 digits with space)

8 Medical Questionnaire

Trialist Medical Questionnaire and Injury Disclaimer

In completing this medical form it will enable the medical team to support you adequately during your trial, for your own safety. Any information provided will be treated confidentially and maintained by the medical department only. If any areas need further discussion then consent will be sought from the player/parent/guardian.

Personal Information

Full Name *

Age Group *

Date of Birth *

Height (cms) *

Weight (kgs) *

Contact Number *

Emergency Contact Number *

Medical History

1. Have you had a cardiac screening in the past 2 years? *

YES NO

Were there any abnormalities or advisories as a result of the screening?

YES NO

If yes, please specify the approximate dates and details:

2. Anyone in the family with a heart condition under the age of 50? *

YES NO

If yes, please specify:

3. Have you ever had a serious injury keeping you out of exercising for at least 4 weeks? *

YES NO

If yes, please specify:

4. Have you ever had a serious injury requiring hospitalisation, and/or surgery, or had a fractured bone? *

YES NO

If yes, please specify:

5. Do you have any reoccurring injuries?

Injury Type	Please Tick	Other Details
Muscle Strain
Growing Pain
Groin Pain
Back Pain
Knee Ligament
Ankle Ligament
Shoulder Instability

6. Have you had any serious head injuries/concussion in the past? *

YES NO

If yes, please specify:

7. If you answered yes to any of the above questions are there any medical limitations on your sporting activity? *

YES NO

If yes, please specify what:

8. Do you have any medical conditions such as asthma, diabetes, allergies etc? *

YES NO

Have you ever experienced shortness of breath during sports activity? *

YES NO

If yes, please specify what, giving details of any treatment/medication required:

9. Is there anything else, medically, that you think we should know? *

YES NO

If yes, please specify what:

Medical Department Policies

Please be aware that whilst trialling with Colchester United Football Club you must follow the medical department policies and procedures, which can be found on the online tool. To note: all injuries must be reported to the medical department directly and clearance to play/train must be obtained from the medical department after injury. Any trial deferrals due to injury will be discussed directly between the medical department and the FA. During your trial period the club is not liable for any illness or injuries incurred. The medical team will support you within their means for the duration of your time with Colchester United Football Club.

Date *

Player/Parent/Guardian Signature *

(Parent/Guardian signature required if under 18 years)

Signature *

Print Name *

Colchester United - Medical Disclaimer

For and on behalf of Colchester United Football Club.

I fully understand that Colchester United Football Club are not liable for any medical consultations, diagnostic scans or treatment that I may require as a result of any injuries that I sustain during any training sessions or any trial matches that I may be asked to play in.

Date *

Player/Parent/Guardian Signature *

(& Parent/Guardian if the player is Under 18)

Signature *

Print Name *

Witnessed on behalf of the Club

(For Club Use ONLY. Do not complete this section)

Club Witness Signature

Witness Name

Any additional information or queries please contact the Medical Department:

Head of Academy Medicine

Oliver Reardon

Oliver.reardon@colchesterunited.net

Once you have completed all medical information above, generate your medical form PDF:

✓ PDF Generated Successfully - Please upload it below

Upload Completed Medical Form *

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Click to upload or drag and drop

PDF files only (max 10MB)

✓ Selected file:

9 Data Protection & Privacy

How we use your information:

Your details will be saved and submitted to our Talent Identification Platform, Scout52, which is hosted by Base44 Inc. in the United States of America.

What data we collect:

Player personal details (name, date of birth, club, position), parent/guardian contact information, medical consent documentation, and emergency contact information.

Why we collect this data:

We collect and process this information solely for the purpose of organising and managing talent identification events at Colchester United FC Academy, including: communicating with parents/guardians about event details, obtaining permission from current clubs, ensuring player safety through medical and emergency contact information, managing attendance and player records, and inviting players to future talent identification opportunities.

International data transfer:

Your data will be stored on servers located in the United States. Base44 Inc. implements appropriate security measures to protect your information. By submitting this form, you acknowledge and consent to your data being transferred to and stored in the USA.

Your data protection rights:

Under UK GDPR, you have the right to: access the personal data we hold about you, request correction of inaccurate data, request deletion of your data, withdraw consent at any time, and object to processing of your data.

Data retention:

We will retain your data for a maximum of 24 months from the date of submission, or until you request deletion, whichever is sooner.

Contact us:

For any questions about how we handle your data, or to exercise your data protection rights, please contact:
Colchester United FC Academy
Email: academy@colchesterunited.net

For full details, please see our Scout52 Privacy Policy.

Consent Declarations

10 Submit Registration

Please ensure all sections are complete before submitting. You will receive a confirmation email once your registration has been processed.

TID EVENT

Parent/Guardian #1 (Primary Contact)

Parent/Guardian #2 (Optional)

Trialist Medical Questionnaire and Injury Disclaimer

Personal Information

Medical History

Medical Department Policies

Player/Parent/Guardian Signature *

Colchester United - Medical Disclaimer

Player/Parent/Guardian Signature *

Witnessed on behalf of the Club

Any additional information or queries please contact the Medical Department:

How we use your information:

What data we collect:

Why we collect this data:

International data transfer:

Your data protection rights:

Data retention:

Contact us:

Consent Declarations