King's Elite Goaltending Academy
Enrolment Form
What package have you signed up for? *
Name of Student *
Date of Birth of Student *
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/
DD
/
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Address (including postcode) *
Club Team *
What level of hockey have you played? *
Parent/Guardian name (if under 18)
Contact email address (should be parent/guardian if student is under 18) *
Contact Number (should be parent/guardian if student is under 18) *
Parental Consent and confirmation you will be present in the room for all 1:1 calls and webinars (under 18s only) *
Required
Medical History *
If other, please provide more details
Do you have any other illnesses/ injuries that may prevent or affect participation? If yes, please provide details: *
I have read and accepted the Term and Conditions laid out on our website *
Required
I have read and accept our privacy policy and GDPR statement laid out on our website *
Required
Please print and sign, or digitally sign, the Code of Conduct found on our website and email to admin@kingselitegoaltending.com *
Required
By signing this form, you confirm that all information is accurate and correct; and you agree to all Terms & Conditions as detailed on our website. Please enter your name below (if under 18, must be signed by a parent/guardian) *
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