Please enable JavaScript in your browser to complete this form.Please advise if it's Summer Camp 1 or 2 and preferred time *Summer Camp 1 21st-24th July 10-11.30Summer Camp 1 21st-24th July 12-1.30Summer Camp 2 4th-7th August 10-11.30Summer Camp 2 4th-7th August 12-1.30Junior's Name *Age *Adult Contact Name *Email *Mobile Number *Are these also the details to use in the event of an emergency on the day? *--- Select Choice ---YesNoEmergency Contact Details If the answer to the previous question was No can you please provide the name and number of an emergency contact. Medical/Health Information - Please let us know if your child has any medical conditions, medication requirements or allergies or anything else we should knowPhotography & Video - Consent Do you give permission for your child to be included in photographs or video footage taken during coaching sessions for use on club social media, website, or promotional materials? *Yes, I give consentNo, I do not give consentFirst Aid & Emergency Care - Do you give permission for qualified personnel to administer first aid to your child if required during a coaching session? *Yes, I give consentNo, I do not give consentIn the event of an emergency, do you authorise the coach or responsible club official to seek appropriate medical assistance on your child’s behalf? *YesNoSupervision & Collection (Optional depending on age group) Is your child allowed to leave the session unaccompanied at the end?YesNo, they must be collected by a parent/guardianData Privacy (GDPR) - I consent to the club storing and using our personal information for the purpose of administering the coaching programme, in line with the club’s Privacy Policy. *I consentMedical Disclosure Confirmation - I confirm that all medical information provided is accurate and that I will inform the club of any changes prior to future sessions. *I agreeParent/Guardian Declaration - I confirm that all information provided in this form is accurate, and I give permission for my child to participate in the junior coaching sessions. *I agreePrice *Price: £40.0012345678910Total£0.00Stripe Credit Card *Submit
