CURTC Membership Form
Juniors
To be completed by the Junior Member and their Parent/Carer
Personal Information of Junior Member
Forename *
Your answer
Surname *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Email *
Your answer
Telephone *
Your answer
UK Address *
Your answer
Post Code *
Your answer
Do they currently hold T&RA membership? *
Parent/Carer Contact Information
Name of Contact *
Your answer
Relationship to Junior Member *
Your answer
Home Telephone *
If your primary contact number is a mobile phone, please provide it here.
Your answer
Work Telephone
Your answer
Mobile Telephone
Your answer
Email *
Your answer
UK Address *
Your answer
Post Code *
Your answer
Medical Information
Please give details of any relevant medical condition or other health or care needs that the Club should be aware of.
Players and their parents are responsible for assessing their own fitness to play, but this information is useful for the club in emergency situations, and for club professionals when providing coaching.
Your answer
I will inform the person in charge as soon as possible of any changes in the medical or other circumstances.
Photography Consent
The club may wish to use photography and recorded video of your son/daughter from time to time for training, publicity, and journalistic purposes. Any material would be produced and handled according to the Club and the T&RA’s policies on the safe use of photography. If you would like to opt your son/daughter out of any photography, please tick the box below. For further information, or to outline any further circumstances, please contact the club Welfare Officer.
Use of Your Data
Your son/daughter's data will be collected and processed in line with the club’s Data Protection policy (www.curtc.net/wp/wp-content/uploads/2017/09/Data-protection-policy.pdf), and in line with our legal obligations under the Data Protection Act 1998. If you wish to opt out of having your son/daughters' data made available as described our Data Protection policy, please tick the box below.
Policy Agreement - Parent
As a condition of membership, the following policies must be read and agreed to by the parent/carer:

Link to Policies: www.curtc.net/wp/curtc-forms-and-policies/

- Code of Conduct - Parents
- Club Booklet
- Communicating with Under 18s and Vulnerable Adults
- Complaints
- Disciplinary
- Equality
- Incident Reporting Pathway
- Photography of Under 18s and Vulnerable Adults
- Transporting Under 18s and Vulnerable Adults

*
Please select 'agree' to confirm that you have read and agree to these policies.
Required
Policy Agreement - Junior
As a condition of membership, the following policies must be read and agreed to by the junior member:

Link to Code of Conduct and Poster: www.curtc.net/wp/curtc-forms-and-policies/

- Code of Conduct - Under-18
- Welfare Officer Poster

*
Please select 'agree' to confirm that you have read and agree to these policies.
Required
Medical Assistance
In the event of falling ill or having an accident on Club premises, I agree that my son/daughter may receive first aid, emergency care, and/or to be taken to hospital.
*
Required
Confirmation by Parent/Carer
To complete the membership form on behalf of your son/daughter, please confirm the following:
Full Name *
Your answer
Date of Completion *
MM
/
DD
/
YYYY
Submit
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