#wildcatsgetactive registration form
Hello from the Wildcats! Please take a moment to complete this form to register your child for the Roller Hockey sessions starting on the 3rd February 2016. We need this information prior to your child participating for our safety and equipment records.
Child's information
Forenames *
Your answer
Surname *
Your answer
Date of Birth
DD/MM/YYYY
Your answer
Address *
Your answer
Post Code *
Your answer
Will your child be bringing their own skates? *
Skate size
Your answer
Parent/Guardian Name *
Your answer
Phone contact number, in case of emergency *
Your answer
Contact email address
Your answer
Medical Information. Please give details of any medical conditions we should be aware of. Does your child suffer from any of the following: Asthma, Diabetes, Epilepsy? Do they require any regular medication? Does your child suffer from any allergies?
Your answer
Sheffield Wildcats RHC will take photographs or video film of roller hockey sessions for publicity purposes. These images may appear in our promotional material via print or our website. We may also send them to the news media. By selecting Agree, you are giving your consent to use your image or those of your children for these promotional purposes. *
Sheffield Wildcats RHC will hold and use the data that you have supplied for administrative purposes only and any data you give us will help to keep you informed of its activities. We hope you stay in touch and ask you to visit www.sheffieldwildcatsrhc.co.uk for new information or to ask further questions. The data will never be passed onto third parties.
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