New Form
Player's Full Name
Address
Postcode
Date of Birth
E-mail Address
Mobile Number
Home Number
Occupation
Any medical conditions/disabilities?
Eg. diabetes, asthma If YES, please give details
Emergency Contact Details
Please include name & number
Alternative Emergency Contact
Doctor's Details
Name & contact details
Disclaimer
By returning this completed form, I agree to me/my daughter/child in my care taking part in the activities of the club. In understand that in the event of any injury or illness all reasonable steps will be taken to contact me or my emergency contact and to deal with the injury/illness appropriately. I give consent to photographs of me/my child being used for publicity purposes.
Disclaimer
I agree
No