Pirates Registration 2020 - YOUTH
Please fill in this form if you are under the age of 18 and would like to become a member of Percy Park Pirates Touch.


If you are over the age of 18 please head to our over 18's registration form.

Contact us at percyparkpiratestouch@gmail.com
Parent/Guardian's Info
Parent/Guardian's Name *
Your answer
Parent/Guardian's Relation *
Your answer
Parent/Guardian's Phone Number *
Your answer
Parent/Guardian's Email *
Your answer
Would you like to be added to the WhatsApp Training group?
Second Parent/Guardian's Name
Your answer
Parent/Guardian's Contact Number
Your answer
Participant's Personal Information
Name *
Your answer
Email Address *
Your answer
Date of Birth *
Your answer
Do you have Injuries or Medical Conditions? *
Your answer
Experience Level *
Do you agree to your child being filmed and/or photographed whilst at sessions which may be used for publicity purposes? *
Do you agree to the Data Protection Agreement? *
Any information provided on this form will be will be kept secure and confidential in accordance with GDPR. Percy Park Pirates will use the information provided on this form for Coaching and Medical administration and for the purpose of contacting players and parents/guardians regarding the Touch Rugby activity in which they are engaged. In the event of a medical issue or safeguarding concern arising, Percy Park Pirates may disclose certain information to relevant personnel as legally required to do so.
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