Child's Name *

First Name

Last Name

Parent/ Guardian Name

First Name

Last Name

Mobile number *

Country

(###)

###

####

Medical Consent *

In the event that the above named member is injured whilst in the care of the club.

I give consent for medical care to be administered

I do not give consent for medical care to be administered

Photographic Consent *

From time to time, we would like to take photographs and videos that may be used on our website and on our social media pages.

I consent

I do not consent