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Locations and Activities

Location*

Activity*

Student Details

Student Details*

Title

Forename

Surname

Date of Birth (DD/MM/YYYY)*

Height (in centimetres) PLEASE DON'T ROUND UP*

Gloves: your preferred colour*

T-Shirt size*

Parent or Guardian Details (Required for students younger than 18)

Guardian Title

Guardian Forename

Guardian Surname

Contact Details

Phone Number – Main*

Phone Number – Other

Your Address*

Number/Name of Property

Street

Town

County

Post Code

Email Address*

Additional Details

For your safety, it is essential that we are made aware of any underlying health conditions, current injuries, disabilities or special needs. (E.g. epilepsy, autism, asthma, recent operations, ADHD, etc.) This information will be held in strict confidence. Is there anything we should know?*

Yes

If you said yes above please tell us about them below

We require your explicit consent to hold information you have disclosed in this section.*

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Consent

From time to time we may take photographs for use in promotional material, including use on social media.*

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Please read these important polices: Safe Guarding, Membership Ts&Cs, Privacy Policy

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