Rathgar Hockey Club Junior Girls Registration Form 2018/19
First & Last name of child: *
Your answer
Date of birth of child: *
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School of child: *
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Class/Year of child for 2018/19: *
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Name of Parent/Guardian 1: *
Your answer
Mobile number of Parent/Guardian 1: *
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E-Mail of Parent/Guardian 1: *
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Name of Parent/Guardian 2: *
Your answer
Mobile number of Parent/Guardian 2: *
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Home address of child: *
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Does your child have any medical conditions we should know about e.g. diabetes, asthma, allergies etc.? *
If yes, please detail:
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I hereby acknowledge and accept the following: 1) all sporting activities have an element of danger and hockey is no exception 2) Playing hockey involves a high risk of ankle, shin, knee, finger and dental injury however the risks also include more serious injuries and in very rare cases death 3) The club strongly recommends the wearing of protective equipment such as gum shields, shin-pads, face masks (in accordance with current hockey playing rules) and hand protectors 4) When my child is playing hockey they are doing so with my understanding of the risks involved with playing hockey and my child must exercise due care and attention 5) I agree to abide by the Club’s Code of Conduct for Parents (see RHC website under policies) 6) I agree that my child will abide by the Club’s Code of Conduct for Young People (see RHC website under policies) *
I confirm I am happy for Rathgar Hockey Club (RHC) to retain my details for the purposes of contact in relation to club events or other events that are deemed to be important, only. I am aware that RHC do not share my details with any third parties and only retain my details (in a secure location) for specific purposes. *
Form completed by: *
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