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Sheffield Wildcats FUN SKATE registration
Hello from the Wildcats! Please take a moment to complete this form to register you or your child for the FUN SKATE sessions starting on the 24th June 2017. We need this information prior to you or your child participating for our safety and equipment records.
Participants information
Forenames
Your answer
Surname
Your answer
Date of Birth
MM
/
DD
/
YYYY
Address
Your answer
Post Code
Your answer
Will you or your child be bringing your own skates?
If NO then what size skates do you need?
Your answer
Parent or Guardian name
Your answer
Parent contact phone 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. Do you or your child suffer from any of the following: Asthma, Diabetes, Epilepsy? Do you or your child require any regular medication? Do you or your child suffer from any allergies?
Your answer
Sheffield Wildcats RHC will take photographs or video film of roller hockey and skating 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.
Thank you for registering for the FUN SKATE sessions. See you soon
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