Player Registration

Title *

Mrs

Miss

First name *

Your answer

Last name *

Your answer

Email address *

Your answer

Mobile phone *

Your answer

Home phone

Your answer

Date of birth *

We need this to determine your level of membership and any safeguarding requirements.

YYYY

Address line 1 *

Your address (please enter your home address, not your term-time address if you're a student)

Your answer

Address line 2

Your answer

Town / City *

Your answer

County *

Post code *

Your answer

Emergency Contact's Name *

Tchoukball is a fast sport requiring a reasonable amount of physical activity. In the extremely unlikely event of an emergency, we need to know who to contact.

Your answer

Emergency Contact's Telephone Number *

This is the telephone number for your emergency contact.

Your answer

Position *

What position do you typically play in?

Regional club

Enter the club you are playing for in the Regional Championships. We'll use this as the club you're linked to. If you don't have a club, you're a free agent! Select that option below and clubs will contact you.

National club

Enter the team you are playing for in the National Championships.

Year started

Which year did you start playing tchoukball?

Any further comments?

If you have anything else you need to mention such as current sporting injuries, please include the details below.

Your answer

I agree to provide my information to Tchoukball UK. If I selected 'Free agent' then it's OK for clubs to contact me *

Your data will be kept securely by Tchoukball UK and may be given to a third party supplier to provide an online service for you to maintain your membership. Signing up as a member of Tchoukball UK means we may contact you about competitions, membership fees, international 'Team UK' events relevant to your membership. We will mainly correspond with you via email and will only contact you by phone if urgently required or if your membership is imminently due to expire.

Yes

Required

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This form was created inside of Tchoukball UK.